Question 1

Question

A 72-year-old fair-skinned farmer presents with a slowly enlarging, non-healing lesion on his nose that occasionally bleeds. He reports decades of outdoor sun exposure. The lesion has been present for approximately 18 months. On examination, a pearly, translucent nodule with rolled telangiectatic borders and central ulceration is noted on the nasal ala — a high-risk H-zone location. Which of the following is the most appropriate primary treatment for this lesion?

Accepted Answer

A. Mohs micrographic surgery with margin-controlled excision

Answer

B. Topical imiquimod 5% cream applied five times weekly for six weeks

Answer

C. Wide local excision with 1 cm margins followed by sentinel lymph node biopsy

Answer

D. Cryotherapy with double freeze-thaw cycle as definitive monotherapy

Acne and Related Disorders — MCQs

Acne and Related Disorders — MCQs

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