Case 1

A 63-year-old white man presents to the dermatologist with a 0.8-cm pink, pearly papule with a central core on the left nasal ala that appeared approximately 1 year ago and has slowly grown in size. The lesion has telangiectasias on the surface and periphery. He states that the lesion occasionally bleeds, especially if accidentally scratched. He is otherwise healthy. The patient has worked as a farmer on his ranch ever since he was a young adult and spends most of his time outside.  

Can you diagnose the condition in Case 1?

A. Epidermal inclusion cyst
B. Basal cell carcinoma
C. Molluscum contagiosum
D. Actinic keratosis

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