During a routine exam,you notice a 5 mm lesion on the right medial cheek.The border is raised and pearlescent in color and the area is crusted.The patient admits that it has been present for several months and has only recently become tender with the development of the crusting.This is most likely:

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Quizplus · Accepted Answer

The characteristics of a 5 mm lesion on the right medial cheek with a raised and pearlescent border, crusting, and tenderness all suggest basal cell carcinoma, which is a type of skin cancer that commonly occurs on sun-exposed areas of the body, such as the face. Squamous cell carcinoma is also a type of skin cancer, but it typically presents as a scaly, erythematous lesion and may be more aggressive than basal cell carcinoma. Epidermoid cysts and actinic keratoses are benign skin conditions that do not typically exhibit the same characteristics as the lesion described in this scenario. The fact that the lesion has been present for several months and has only recently become tender with the development of crusting is also concerning, as it suggests progression of the cancer. A biopsy and further evaluation by a dermatologist or oncologist is warranted.

During a Routine Exam,you Notice a 5 Mm Lesion on the Right