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Presentation
A 64-year-old postal worker visited his doctor about a lesion that he first noticed on his face 2 months prior. On examination, a shiny, eroded, blue-black nodule was seen on his right cheek. Histopathology examination showed aggregates of melanin and melanocytes within sheets of basaloid keratinocytes with peripheral palisading and surrounding clefts within a fibromyxoid stroma containing melanophages.
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13% a) Blue nevus
16% b) Cutaneous squamous cell carcinoma
43% c) Pigmented basal cell carcinoma
1% d) Superficial basal cell carcinoma
Learnings
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