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Image Number 943 (Basal cell carcinoma)

 
Morphology:
Ulcer

Diagnosis: Basal cell carcinoma

Site: Face

Sex: M

Age: 68

Type: Clinical

Description: BCC with healed centre and an active margin

Submitted by: Nameer Al-Sudany

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Differential Diagnosis

History: BCC is the commonest skin tumor in elderly people. Many therapeutic options are available for tumor removal or destruction and the 5 year recuurence rate is about 5% for most of these therapeutic options. Here is a case of BCC treated before with surgical excision which seems to be was not adequate and recurrence of the tumour within 2 years was the yield. The recurrent tumor was treated with 5% 5-FU cream (not suitable option for recurrent BCC) for 8 weeks and resulted in healing of the centre of the lesion with scarring but still with active border.    

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