An ulcerated nodule on the nose

A 75-year-old retired nurse, originally from Barbados, presented to her general practitioner (GP) with a scaling ulcerated nodule on the left side of her nose. She was taking medication for type 2 diabetes, hypertension and glaucoma, but was otherwise well with no systemic symptoms. Her GP diagnosed...

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Veröffentlicht in:BMJ case reports 2013-04, Vol.2013, p.bcr2012008296
Hauptverfasser: Maybury, Catriona M, Craythorne, Emma, Martin, Blanca
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Craythorne, Emma
Martin, Blanca
description A 75-year-old retired nurse, originally from Barbados, presented to her general practitioner (GP) with a scaling ulcerated nodule on the left side of her nose. She was taking medication for type 2 diabetes, hypertension and glaucoma, but was otherwise well with no systemic symptoms. Her GP diagnosed a patch of eczema; however, a trial of topical steroids was not effective and she was referred to dermatology. A skin biopsy confirmed the clinical suspicion that this patient had a nodular basal cell carcinoma (BCC). BCCs account for 75% of all skin cancers; they very rarely metastasise, but can spread to invade local structures. Our patient has type VI skin. Skin cancer is rare in patients with skin type VI; however, in this group, morbidity and mortality are disproportionately high in relation to cancer incidence.
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She was taking medication for type 2 diabetes, hypertension and glaucoma, but was otherwise well with no systemic symptoms. Her GP diagnosed a patch of eczema; however, a trial of topical steroids was not effective and she was referred to dermatology. A skin biopsy confirmed the clinical suspicion that this patient had a nodular basal cell carcinoma (BCC). BCCs account for 75% of all skin cancers; they very rarely metastasise, but can spread to invade local structures. Our patient has type VI skin. Skin cancer is rare in patients with skin type VI; however, in this group, morbidity and mortality are disproportionately high in relation to cancer incidence.</abstract><cop>England</cop><pub>BMJ Publishing Group LTD</pub><pmid>23595174</pmid><doi>10.1136/bcr-2012-008296</doi><oa>free_for_read</oa></addata></record>
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subjects 80 Years
Age
Aged
Biopsy
Black
Cancer therapies
Carcinoma, Basal Cell - pathology
Carcinoma, Basal Cell - surgery
Eczema
Female
Humans
Infections
Lupus
Melanoma
Mohs Surgery
Mortality
Mutation
Nose Neoplasms - pathology
Nose Neoplasms - surgery
Parasitic diseases
Patients
Sarcoidosis
Skin cancer
Skin Neoplasms - pathology
Skin Neoplasms - surgery
Sun
Tuberculosis
Ultraviolet radiation
United Kingdom
Unusual Presentation of More Common Disease/Injury
title An ulcerated nodule on the nose
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