Case #1

A 60-year-old man with no history of skin cancer presents to the dermatology clinic for evaluation of a lesion on his right temple. The lesion was first noticed by the patient approximately 1 year ago and has been growing slowly. The patient notes that the lesion sometimes bleeds after he towel-dries his face. He has no other similar lesions on his face or body. The patient has a history of hypertension but is otherwise healthy. On physical examination, a 1.8 x 1.5-cm smooth pearly nodule with rolled borders and arborizing telangiectasias is found on the patient’s right temple.

Can you diagnose the condition in Case 1?

A. Sebaceous hyperplasia
B. Basal cell carcinoma
C. Trichoblastoma
D. Trichoepithelioma

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