Dermatology Question 19

A 53-year-old woman is evaluated for a slowly enlarging, telangiectatic, pearly, ulcerated 1-cm plaque on the left temple. It bleeds periodically when traumatized. Medical history is significant for atrial fibrillation. She takes warfarin daily. She is otherwise in good health.

On physical examination, vital signs are normal. Cardiac examination shows an irregular heart rate but is otherwise normal. The remainder of the examination is unremarkable.

Biopsy of the lesion reveals a basal cell carcinoma with micronodular and infiltrative features.

Which of the following is the most appropriate treatment for this lesion?

A  Cryotherapy

B  Electrodesiccation and curettage

C  Mohs micrographic surgery

D  Radiation therapy

E Topical imiquimod

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