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Image Number 1286 (Basal cell carcinoma)


Diagnosis: Basal cell carcinoma

Site: Cheek

Sex: F

Age: 37


Description: Whitish sclerosed plaque.

Submitted by: Nameer Al-Sudany

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Differential Diagnosis

History: Morpheic or morpheaform BCC constitutes about 2% to 6% of all BCCs. It usually has a scar-like appearance hence its other name is cicatricial BCC. This middle-aged lady presented with a white sclerotic plaque on the left cheek with ill-defined borders of about 18 months duration. Surface telangectasia and some brownish black pigmentation were evident on examination. Incisional biopsy showed many strands of basal cells interspersed amid densely packed connective tissue.

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