
The patient is a 64 yo man who received a renal transplant x years ago and is maintained on prednisone and Prograf. He presented with a 4 cm biopsy proven superficial squamous cell carcinoma on the left parietal scalp. This lesion would have necessitated a large micrographic surgical procedure with a graft.An attempt was made to treat with topical chemotherapy. Imiquimod was inititiated, but there was only minimal response after...