Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents for evaluation of a persistent, non-healing skin lesion located on the [Location]. The lesion was first noted [Duration] ago. Patient reports occasional bleeding, crusting, and slow enlargement. Denies pain, pruritus, or rapid growth. No history of prior treatment or biopsy at this site.
Clinical Examination Findings
Physical examination reveals a [Size in mm] pearly, translucent papule with telangiectatic vessels on the surface, located on the [Location]. Lesion exhibits rolled, elevated borders with central ulceration/crusting. No palpable regional lymphadenopathy. Surrounding skin shows signs of chronic actinic damage.
Treatment Protocol
Surgical excision of the lesion with [Margin in mm] mm clinical margins is indicated. Procedure performed under local anesthesia. Hemostasis achieved via electrocautery. Site closed with [Suture type/technique]. Specimen sent for histopathological confirmation. Post-operative wound care instructions provided.