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Progressively enlarging asymptomatic hyperpigmented ulcer with rolled margin
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How to cite this article: Lobo C, Kaimal S. Progressively enlarging asymptomatic hyperpigmented ulcer with rolled margin CosmoDerma. 2026;6:82. doi: 10.25259/CSDM_74_2026
A 48-year-old woman presented with a progressively enlarging, asymptomatic 5×5 cm hyperpigmented ulcer with rolled margins, involving the right pre-auricular and post-auricular regions, pinna, and concha [Figure 1]. There was no regional lymphadenopathy. Histopathology confirmed nodular basal cell carcinoma [Figure 2]. Complete surgical excision was performed.
Basal cell carcinoma (BCC) arises from basal epidermal cells, is associated with ultraviolet-B exposure, and is more common in older individuals.[1] Types of BCC include nodular, superficial, fundic cystic, fibroepithelial, morphea form, and infiltrative variants.[2] Nodular BCC is the most common subtype, manifesting as a small pearly papule with telangiectatic vessels and may ulcerate, as seen in our patient. Histopathology is confirmatory. Surgical excision, especially Mohs micrographic surgery, offers a long-term cure rate. Prognosis is favorable, but recurrence risk necessitates photoprotection and follow-up.
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Institutional Review Board approval is not required.
Declaration of patient consent:
The authors certify that they have obtained all appropriate patient consent forms. In the form, the patients have given their consent for their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.
Conflicts of interest:
There are no conflicts of interest.
Use of artificial intelligence (AI)-assisted technology for manuscript preparation:
The authors confirm that there was no use of artificial intelligence (AI)-assisted technology for assisting in the writing or editing of the manuscript, and no images were manipulated using AI.
Financial support and sponsorship: Nil.
References
- Risk factors for single and multiple basal cell carcinomas. Arch Dermatol. 2010;146:848-55.
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