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Basal cell carcinoma — ABFM Board MCQ

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HardDermatologyBasal cell carcinomaABFM Board

A 67-year-old man has a pearly papule with telangiectasias on the nasal ala that bleeds intermittently. Dermoscopy shows arborizing vessels. Which of the following is the most likely diagnosis?

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Correct answer: B — Basal cell carcinoma

A pearly papule with telangiectasias and intermittent bleeding on a sun-exposed area is typical of basal cell carcinoma. Biopsy confirms diagnosis before definitive treatment.

Reference: American Academy of Dermatology Basal Cell Carcinoma Guideline