QuestionSBA
QuestionChoice
Topical therapies are usually used in the management of actinic keratoses and low-grade squamous cell carcinomas, when excision is unsuitable. The BCC must be excised to prevent invasion into the lip.
10028268
c
Topical imiquimod
QuestionChoice
The BCC should be excised, however a more precise approach than a wide local excision should be undertaken, given that the carcinoma is close to the lip border. A WLE may be suitable for a lesion on the limbs, for example.
10028267
b
Wide local excision
QuestionChoice
Although basal cell carcinomas are slow-growing, they can invade structures and should be excised. Observation is not appropriate for this reason, and the lesion should be carefully removed using Mohs surgery.
10028270
e
Observation
QuestionChoice
While basal cell carcinomas are slow-growing, they should be excised. Mohs micrographic surgery is the procedure of choice in this case as the lesion is on the face and in proximity to the border of the lip. This means tissue loss should be minimised to prevent a poor cosmetic and functional outcome.
10028266
a
Mohs micrographic surgery
QuestionChoice
Topical therapies are usually used in the management of actinic keratoses and low-grade squamous cell carcinomas, when excision is unsuitable. The BCC must be excised to prevent invasion into the lip.
10028269
d
Topical 5-flurouracil
QuestionComment
never heard of this finals in a week :/
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User
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Defibrillator Dominant
Concept
Chapter
2693
3760
Basal cell carcinoma
Topic
144
Dermatology
18051
Mohs micrographic surgery is the preferred treatment for basal cell carcinoma located on the face to ensure minimal tissue loss and optimal cosmetic results.
A patient is reviewed in the dermatology clinic after a diagnosis of a 2mm basal cell carcinoma, close to the border of his lower lip.

What is the most appropriate management option?
a