MrsPerson, 82 Years Old, Comes to the Well Clinic to See

Mrs.Person, 82 years old, comes to the well clinic to see a nurse practitioner for a bump on her ear.This growth has been there for almost a year but has recently grown.The area around the growth appears inflamed.Why would the nurse practitioner suggest a biopsy? Select all that apply.

A) The growth is elevated and increasing in size.
B) The ear has high exposure to the sun.
C) There is inflammation around the growth.
D) The patient is 82 years old and reports having lived in the south of the United States for many years.
E) There is no concern about familial tendencies.