Cutaneous squamous cell carcinoma Quiz: Ace Your Exams
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A 74-year-old man presents to the surgery office for evaluation of a new skin lesion. The patient first noticed the lesion on his right arm about two weeks ago. There is no associated pain or pruritus. He worked as a lifeguard growing up and never wore sunscreen. His medical history includes hypertension, atrial fibrillation, and a prior basal cell carcinoma of the scalp which was removed two years ago. A full body skin exam is performed, and the right arm lesion is biopsied. The biopsy shows dysplastic keratinocytes involving the full thickness of the epidermis that penetrate the epidermal basement membrane to involve the dermis. Which of the following would most likely be seen on physical exam given the biopsy findings?
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