A 26-Year-Old Woman Comes to the Physician for Evaluation of a Lesion

question 489

Multiple Choice

A 26-year-old woman comes to the physician for evaluation of a lesion on her left foot.  She initially noticed a small bump 6-7 months ago that has gradually become firm and slightly pigmented.  She has no pain or itching around the site and has no other medical conditions.  The patient has no history of tobacco or alcohol use.  She works as an accountant.  Her temperature is 36.1 C (97 F) , blood pressure is 128/76 mm Hg, and pulse is 78/min.  Skin examination (shown below) reveals a 0.8 cm hyperpigmented nodule with dark edges.  There is a central dimple that develops when the lesion is pinched at the edges.  The remainder of her physical examination is within normal limits. Which of the following is the most likely diagnosis?

• A)Basal cell carcinoma
• B)Dermatofibroma
• C)Kaposi sarcoma
• D)Pyogenic granuloma
• E)Squamous cell carcinoma

---

Definitions:

Leader Demands

The expectations or requirements set by a leader for their team or followers to achieve specific goals or tasks.

Small Team

A group of individuals working closely together in a collaborative and coordinated manner, often characterized by a more personal and agile work environment.

Typical Effects

Typical effects refer to the usual or expected outcomes that occur under certain conditions or as a result of specific actions.

Reach A Decision

The process of arriving at a conclusive choice among various options or courses of action.