ABSTRACT
This chapter presents a case study of a 59-year-old construction worker. A 59-year-old construction worker presents to the dermatology clinic with a 3-year history of a slow-growing lesion on the left temple. The patient describes that the lesion had begun as a small ‘spot’, which had gradually enlarged and had more recently been crusting over and intermittently bleeding. There is no previous history of skin disease and no family history of similar problems. There is a nodular lesion 18 mm in diameter with a translucent edge and overlying telangiectasia with central crust. Full skin examination does not reveal any other similar lesions, although he is noted as being tanned. This patient has a nodular basal cell carcinoma (BCC), which is the most frequently seen and, like this lesion, has well-defined, rolled edges that have a pearly translucent appearance. BCCs are the most common type of skin cancer. Subtypes of BCCs include nodular, superficial and morphoeic.
