55 year female, nondiabetic , hypertensive, has a non healing ulcer , gradually increases in size, erodes into nose. diagnosis and management

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Post nossprick wound.

BCC.... There is extensive destruction of ala cartilage plastic surgery reconstruction with WLE required...

Melanoma is also a possibility. Excision with at least one cm away from the lesion at all sides and boost may be done Then treatment accordingly.

Please read biopsy instead of boost.
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Pigmented BCC.

Pigmented BCC Nodulo ulcerative lesion showing rolled,pearly edge , slowly progressive,locally invasive,eating into underline structure like cartilage or bone,if left untreated. Lymphdenopathy or metastasis do not occurs. Adv HPE. Rx Moh's microscopic surgical removal with radiotherapy .

Bcc! (seen as rodent ulcer! )

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