Nodular basal cell carcinoma (BCC)

• Presents as a slowly growing pearly nodule or plaque with prominent arborizing vasculature.
• Most often located on the head and neck. The inner canthus is a common site.
• Ulceration is common, hence alternative name, rodent ulcer.

Excision biopsy is recommended with a 3 to 4 mm margin. Mohs microscopically controlled surgery is indicated for recurrent, ill-defined and large tumours of the mid-face.