Week 10
Quiz 10 Context:
A 65-year-old man presents for routine health check and cancer screening. He has a past medical history significant for hyperlipidemia, gout, and diabetes. He is maintained on a stable medical regimen and currently reports no active symptoms. He is an ex-smoker and consumes 2 drinks of alcohol per week. He is a former construction worker, now retired. He denies weight loss, night sweats, fevers, change in bowel or bladder habits, or cough. The patient does relate a significant history of sun exposure, related to his previous occupational exposure as well as his current pursuit of golf as a hobby.
Physical examination is most remarkable for a single macule at the surface of the right ear. The lesion is dark in color. It has a somewhat irregular border. It is neither ulcerated nor tender, and there is no associated drainage or lymphadenopathy.
The skin finding is pictured above.
This is most consistent with which of the following?
- Morpheaform basal cell carcinoma
- Lentigo maligna
- Seborrheic keratoses
- Squamous cell carcinoma
- Discoid lupus erythematosus
