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Basal cell carcinoma — ABFM Board MCQ

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EasyDermatologyBasal cell carcinomaABFM Board

A 71-year-old man with fair skin has a slowly enlarging pearly papule with telangiectasias on the nasal ala. It bleeds occasionally when he washes his face. Which of the following is the most likely diagnosis?

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Correct answer: A — Basal cell carcinoma

A pearly papule with telangiectasias on a sun-exposed area is characteristic of basal cell carcinoma.

Reference: American Family Physician clinical reviews and AAFP guidance: https://www.aafp.org/pubs/afp.html