1 MCQs in Dermatology for NEET PG
A 68-year-old fair-skinned male farmer presents with a 2.5 cm indurated, hyperkeratotic nodule on the dorsal surface of his left hand with a 4-month history of growth and occasional bleeding. Biopsy confirms invasive squamous cell carcinoma with perineural invasion. The lesion marked **A** in the diagram represents this cutaneous squamous cell carcinoma. Which of the following best describes the pathogenesis and metastatic risk profile of the lesion marked **A**?
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