A 48-Year-Old Man Comes to the Office for a Routine

question 100

Multiple Choice

A 48-year-old man comes to the office for a routine medical evaluation and is found to have a skin lesion on his upper back.  The patient is unsure when the lesion appeared but first noticed it several weeks ago during a shower.  It is not painful, and he has no other symptoms.  He has no chronic medical conditions and takes no medications.  The patient drinks 1 or 2 beers nightly and does not use tobacco or illicit drugs.  He works as a surfing instructor.  Vital signs are within normal limits.  Skin examination findings are shown in the exhibit.  The remainder of the examination is normal.  Which of the following is the most likely diagnosis?

• A)Angiosarcoma
• B)Basal cell carcinoma
• C)Cherry hemangioma
• D)Keratoacanthoma
• E)Malignant melanoma
• F)Seborrheic keratosis

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Definitions:

South

A direction or region typically referred to as being below or toward a lower position, often used in geographical contexts.

Rio De Janeiro

is a major city in Brazil, known for its iconic Copacabana and Ipanema beaches, the Christ the Redeemer statue atop Mount Corcovado, and its vibrant Carnival festival.

Metropolitan Area

A region consisting of a densely populated urban core and its less-populated surrounding territories, sharing industry, infrastructure, and housing.

World Population

The total number of living humans on Earth at a given time.