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Make the Diagnosis: This Bump on His Nose is a Tricky Diagnosis

MedpageToday

Presentation

A 52-year-old man visited his doctor for a new growth on his nose. On examination, a smooth, faint pink papule with overlying scant telangiectasias was seen at the lateral nasal sidewall. A shave biopsy was performed, and histopathologic examination revealed reticular basaloid islands with peripheral palisading surrounded by fibroblasts and a cellular fibrotic stroma.


to use the Differential Builder in VisualDx to help you.

17% A. Epidermoid cyst

6% B. Lobular capillary hemangioma

30% C. Nodular basal cell carcinoma

11% D. Trichoepithelioma

Learnings

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