To BCC or not to BCC?

Case presentations

Case 1

An elderly man with a history of solar keratoses and nonmelanoma skin cancer presented for a skin check. He had no specific skin concerns.

A dusky pink lesion was noted on the patient’s lateral right elbow (Figure 1a). On close inspection, the plaque was violaceous and ill defined, measuring approximately 9 x 7 mm. Although the patient and his wife were normally fairly observant of skin changes they were mostly unaware of the existence of the lesion, which suggested recent onset. It was asymptomatic.