A 68-year-old farmer from rural Maharashtra presents with a 3-month history of a non-healing ulcer on the dorsum of his left hand. On examination, there is a 2 cm × 1.5 cm ulcer with raised, indurated, everted edges and a granulating base. The lesion is painless. Dermoscopy shows keratin pearls and increased vascularity. A punch biopsy confirms well-differentiated squamous cell carcinoma (SCC) with no evidence of perineural invasion. There are no palpable regional lymph nodes. What is the most appropriate next step in management?
See the options, answer & explanation
Sign in free to reveal the answer choices, the correct answer, the detailed explanation, and AI-powered insights for this question.