A 59-year-old construction worker presents to the dermatology clinic with a 3-year history of a slow growing lesion on the left temple. The patient describes that the lesion had begun as a small ‘spot’, which had gradually enlarged and had more recently been crusting over and intermittently bleeding. There is no previous history of skin disease and no family history of similar problems.

Examination There is a nodular lesion 18 mm in diameter with a translucent edge and overlying telangiectasia with central crust (Image attached). Full skin examination does not reveal any other similar lesions, although he is noted as being tanned. *This image based question is from Docplexus editorial team for educative purpose only Source: 100 cases in Dermatology Stay connected, the answer will be posted soon!