During a routine physical examination, a nurse observes a 1-cm (0.4-in) lesion on a client's chest.The lesion is raised and flesh-colored with pearly white borders.The nurse should recognize that this finding is suggestive of which of the following types of skin cancer?
Explanation & Rationale
Choice A rationaleBasal cell carcinoma is the most common type of skin cancer and often presents as a raised, flesh-colored lesion with pearly white borders and telangiectasia. This description aligns closely with the nurse's observation. It originates from the basal cells in the epidermis.Choice B rationaleMalignant melanoma is characterized by irregular borders, uneven coloration (various shades of brown, black, red, white, or blue), and potential changes in size, shape, or elevation. A flesh-colored lesion with pearly borders is not typical of melanoma.Choice C rationaleActinic keratosis is a precancerous skin condition that appears as rough, scaly patches, often on sun-exposed areas. These lesions are typically flat or slightly raised and are not described as having pearly white borders or being flesh-colored.Choice D rationaleSquamous cell carcinoma can present as a firm, red nodule or a scaly, crusty patch. While it can be raised, the description of pearly white borders and a flesh-colored appearance is more characteristic of basal cell carcinoma. .