How would you manage this lesion on the nose?

This week, we look at a case submitted by Dr Asia Hafeez in which a 78-year-old female presents to the dermatology outpatient clinic with complaints of a pruritic ulcerative plaque on her nose for the last seven months. 

The lesion started as a small, itchy papule that later increased in size with surface ulceration and crusting.

Please refer to the clinical and dermoscopy images below. What would you do next?

Please leave your comments today and check back for the outcome from Wednesday at 2.00pm AEDT (1.00pm AEST).

	Would you like to obtain advice or share your experience with your colleagues and Dr Terry Harvey in the weekly blog case discussion?  Participate with your cases so that we can learn together! Submit your case here or send details to admin@healthcert.com
Contributing to the Skin Cancer Case Discussion Blog helps meet your annual Performance Review CPD requirement!
Submit your own case* = 1 CPD hour (Performance Review) *Case must be published on the blog to qualify.	Comment/engage with colleagues’ cases  = 0.5 CPD hours (Performance Review)
How to claim your CPD hours If you interact with this case or submit your own case, you can Quick Log your CPD hours with the RACGP via the usual self-submission process. You will be asked to reflect on what you have learned, and you will require proof you interacted with the blog; a screenshot will suffice.