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Skin Pathology, Case 2
• 69-year-old male who worked as a roofer
and house painter in the past. Examination
of the skin reveals chronic sun damage A
pearly papule is present near the left eye.
The surface is focally ulcerated and
prominent subepidermal blood vessels
(telangiectasias) are present on the
surface of the papule.
Describe this skin lesion
Likely diagnosis?
This nodular basal cell carcinoma of the ear has a rolled
border and a somewhat translucent appearance.
Telangiectasia may be present.
Describe the skin lesion
Likely diagnosis?
A small, nodular basal cell carcinoma on the upper lip,
appearing as a somewhat translucent papule.
Describe the low power histologic findings
Nests of basal cell
carcinoma infiltrating the
dermis
Retraction artifact
This is a photomicrograph of a shave biopsy of a basal cell carcinoma.
Basal layer of
epidermis
Nodule of basaloid cells (basal cell carcinoma) exhibiting peripheral palisading
Note how the basal cells of the carcinoma resemble the basal layer of the epidermis