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Image Number 2011 (Basal cell carcinoma)


Diagnosis: Basal cell carcinoma

Site: Breast

Sex: F

Age: 78


Description: Bright red, erythematous macule with some scale on upper, outer portion of pendulous breast

Submitted by: Ted Rosen

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Differential Diagnosis


At the time of regualr skin survey, this elderly woman presenteed with asymptomatic, bright red, slightly scaly patch on the uppermost, out quadrant of her right pendulous breast. Differential diagnosis included superficial basal cell carcinoma (which is what was revelaed by biopsy), squamous cell carcinoma in-situ, and Paget's disease. The lesion responded to 5% topical imiquimod used for 6 weeks, and healed with almost no scar.

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