Stressing the importance of photoprotection

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Ms. Bassett presents for a "skin cancer check." She readily volunteers that she has spent a considerable amount of time out in the sun, although there is no family history of skin cancer. I reassured the patient about typical changes of so-called "idiopathic guttate hypomelanosis" over her legs, plus a solitary seborrheic keratosis on her left wrist and a single cherry angioma over her left thigh. Checking the sun-exposed sites, I did detect an early pigmented solar keratosis over her right zygoma. She also has numerous excoriated acne lesions on her face. I elected to freeze this precancer with liquid nitrogen on an applicator after stressing the importance of photoprotection.

Reference no: EM133625511

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