Case history
Case history #1
A 63-year-old man with sun-damaged skin presents with a small nodule on the left aspect of his forehead. He mentions that it is itchy at times, and he thinks that he may have seen a colleague 2 years previously for removal of some keratoses or scabs. The patient indicates that these were either cauterised or frozen. On examination there is a pearly white nodule with prominent telangiectasia on its surface.
Case history #2
A woman in her mid-40s with dark, leathery skin and intense wrinkling of the lower neck (signifying excessive sun exposure either in a form of frequent sun tanning beds or perhaps frequent beach visits) presents at your office. She complains about a mole on her jaw that has recently started to bleed.
Other presentations
Rarely, a patient might present with an advanced basal cell carcinoma, several centimetres in diameter and either deeply eroding into the surrounding tissue or with metastatic disease to lymph nodes and/or distant organs. Metastases are uncommon but have been described in the lungs and bones.[11]
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