From A.R. Pito
Norfolk Island, S.P.
A friend from Australia sent me this photo with the following note.
"A.R.: I just saw this 56 yo man with a two year history of a large ulcero-nodular plaque on his left temple. Biopsy is pending but this appears to be a morpheaform BCC. Assuming this is BCC, what would your therapeutic suggestions be.
Radiotherapy?
Mohs?
In our area, we do not have a specialized cutaneous radiation centre, but he could be sent to Sydney, I suspect."
Thank you for your suggestions. You can post here or send to oslerian@gmail.com. I will append the pathology when my colleague forwards it.
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