Dermatology Questions? Ask an Online Dermatologist.
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A chronic non healing ulcer and one that itches needs to be evaluated under a magnifying glass and a biopsy should be sent for examination under a microscope.
The bleeding and raised borders are concerning elements in an ulcer and basal cell carcinoma needs to be ruled out in this setting.
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A basal cell carcinoma is a type of skin cancer that can affect chronic non healing ulcers sometimes, and it is completely curable if excised in entirety. The treatment is first a biopsy and confirmation of the diagnosis and once confirmed, it can be excised under local anesthesia as an office procedure.
Unfortunately, pictures are not sufficient to make a diagnosis and that is why I stress that you get this examined by your PCP or your dermatologist before we draw any conclusions.
That is correct. Sun exposed areas are at more risk, does not mean there aren't exceptions. But whenever there is a chronic ulcer, a biopsy is mandatory. A basal cell carcinoma is one of the differentials. However, a biopsy will lead us to the correct diagnosis.
STDs like herpes can cause chronic ulcers but they are weepy with a clear discharge, tingling and sharp pain and preceded by clusters of blisters.
I understand that it sounds terrible, but it might turn out to be nothing but an ulcer that is just not healing.
Treatment at the maximum is a small elliptical excision around the ulcer (skin only) and suturing the edges together with fine thread and under local anesthesia. The wound should heal in about a weeks time and that's that.
Your doctor will do this an office procedure.