Cutaneous squamous cell carcinoma Quiz: Ace Your Exams
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A 54-year-old man presents to the dermatology office for evaluation of a new skin lesion on the right calf. Twelve years ago, the patient had a cutaneous squamous cell carcinoma (cSCC) removed from the same area with curettage and electrodesiccation. The lesion is not painful or pruritic. On physical exam, there is a well-defined 0.8 cm diameter lesion on the right calf. A punch biopsy is performed and shows a well-differentiated cSCC that is 1 mm in thickness without invasion beyond the subcutaneous fat. The patient is otherwise healthy aside from bilateral hip osteoarthritis for which he occasionally takes naproxen. Which of the following is the best treatment for this patient’s lesion?
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