Question

A 60-year-old farmer presents with a scaly, non-healing lesion on the dorsum of his hand, suspicious for squamous cell carcinoma (SCC). According to NICE, which is the definitive diagnostic step?

Accepted Answer

Excisional biopsy with narrow margins

Answer

Punch biopsy

Answer

No biopsy needed, treat empirically

Answer

Dermatoscopic examination alone

Answer

Shave biopsy

Practice question

A 60-year-old farmer presents with a scaly, non-healing lesion on the dorsum of his hand, suspicious for squamous cell carcinoma (SCC). According to NICE, which is the definitive diagnostic step?