Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents for evaluation of a persistent, non-healing lesion on the nasal skin. The lesion was first noted [Timeframe] ago, initially appearing as a [e.g., pearly papule/ulceration]. Patient reports intermittent bleeding, crusting, and gradual enlargement. No history of rapid growth, pain, or paresthesia. No personal or family history of melanoma or syndromic skin conditions.
Clinical Examination Findings
Physical exam reveals a [Size: e.g., 8mm] well-demarcated, pearly, translucent papule with telangiectatic vessels on the [e.g., nasal ala/dorsum]. Lesion is firm to palpation with rolled borders and central ulceration. No palpable regional lymphadenopathy. Skin surrounding the lesion shows signs of chronic actinic damage.
Treatment Protocol
Recommended treatment is surgical excision with [e.g., 3-4mm] clinical margins to ensure complete clearance. Given the nasal location, reconstruction will be performed via [e.g., primary closure/local transposition flap/full-thickness skin graft] to optimize aesthetic and functional outcomes. Biopsy specimen sent for histopathological confirmation and margin assessment.