Dermatology Q22

A 44-year-old man is evaluated for a new lesion on the side of his face. It has been present for several months and is asymptomatic. When he shaves he cuts it, and it starts bleeding. He is otherwise healthy and takes no medications.

On physical examination, vital signs are normal. Skin findings are shown.

The remainder of the examination is normal.

 

Which of the following is the mostly likely diagnosis?

 

 

 

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