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How would you treat this ulcerated lesion on the leg?

An 85-year-old male patient presents with concerns about a longstanding ulcerated lesion on his right lower leg. What would you do next?

case discussion
Author
HealthCert Education
1 minute read

In this week's case discussion, submitted by Dr Magdy Malek, we look at an 85-year-old male patient who presented with concerns about a longstanding ulcerated lesion on his right lower leg.

What do you think of the clinical image? What would you do next?

clinical

Update

A punch biopsy showed ulcerated nodulo infiltrative BCC. Complete excision was performed with a modified keystone flap (image below).

Final histopathology revealed complete excision of the nodular BCC with an area of superficial BCC at one edge treated with topical Aldara cream.

flap

Learn more about the diagnosis of skin lesions with the HealthCert Professional Diploma program in Dermoscopy - online skin lesion training tailored for GPs, delivered with the International Dermoscopy Society.


case discussion

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