Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents for evaluation of a slow-growing, indurated cutaneous plaque/nodule located on the [Location]. Lesion noted to be [Duration] in duration, with recent [enlargement/color change/ulceration]. No history of antecedent trauma. Patient denies systemic symptoms.
Clinical Examination Findings
Physical exam reveals a firm, non-tender, flesh-colored to reddish-brown plaque/nodule, measuring [Size] cm. Lesion is fixed to the dermis with tethering of overlying skin. No regional lymphadenopathy palpated. Surrounding skin shows no signs of inflammation or satellite lesions.
Treatment Protocol
Recommended management includes wide local excision (WLE) with [1-3] cm margins or Mohs Micrographic Surgery (MMS) to ensure clear margins. Reconstruction via [primary closure/local flap/skin graft] planned post-clearance. Referral to oncology for multidisciplinary review if margins are positive or if recurrence is noted.