QuestionSBA
QuestionChoice
This is a typical description of a basal cell carcinoma. Basal cell carcinomas usually present with the following three features: a pearly rolled edge, central ulceration and fine telangiectasias. They do not commonly present with any pain or bleeding. They are slow-growing and are more likely to appear on sun exposed areas of skin.
10024965
a
Basal cell carcinoma
QuestionChoice
These often appear as irregular red nodules with a scaly or crusty surface and irregular and raised margins. Unlike basal cell carcinomas, they can cause pain and bleeding and grow more quickly, over weeks to months.
10024969
e
Squamous cell carcinoma
QuestionChoice
These are premalignant skins lesions that often precede the development of squamous cell carcinomas. Actinic keratosis present as lesions with surrounding erythema and a rough or warty surface. They are often described as incredibly itchy lesions on sun exposed areas of skin.
10024966
b
Actinic Keratosis
QuestionChoice
Features of melanomas can be recognised using the ABCDE approach, which stands for: Asymmetrical lesion, Border irregularity, Colour variation, Diameter more than 6mm and Evolution over time. Melanomas can also be itchy or bleed and often grow more quickly than basal cell carcinomas.
10024967
c
Malignant melanoma
QuestionChoice
These often have a ‘stuck on’ appearance. They can range in colour from light to black. The lesion described in this question is more likely to be a basal cell carcinoma.
10024968
d
Seborrheic Keratosis
Concept
Chapter
2693
3760
Basal cell carcinoma
Topic
144
Dermatology
17391
A 60-year-old male presents to his GP after noticing a new lesion on his cheek. On closer inspection, you notice a raised, flesh-coloured nodule approximately 4mm in diameter. You notice a pearly rolled edge and an ulceration in the centre of the lesion, with multiple small telangiectasia on the surface of the nodule.

Which of the following is the most likely diagnosis?
a