Question

A 67-year-old fair-skinned man presents with a 1.2 cm pearly papule with telangiectasia on the left cheek. A punch biopsy confirms a nodular basal cell carcinoma. What is the most appropriate definitive treatment?

Accepted Answer

Wide local excision with appropriate surgical margins

Answer

Topical imiquimod only

Answer

Cryotherapy

Answer

Oral chemotherapy

Answer

Observation only

Practice question

A 67-year-old fair-skinned man presents with a 1.2 cm pearly papule with telangiectasia on the left cheek. A punch biopsy confirms a nodular basal cell carcinoma. What is the most appropriate definitive treatment?