Summary

• Clinically presents as a pearly white papulo-nodule or firm plaque.
• Patient usually has prominent solar damage or a history of considerable ultraviolet (UV) exposure.
• Biopsy with histopathological evaluation is essential; findings are of dermal masses of varying sizes and shapes composed of basophilic cells with large oval rather uniform nuclei and scant cytoplasm. These masses exhibit a peripheral cell layer demonstrating a palisading pattern of nuclei.
• Treatment varies, remembering that the diagnosis of a cancer is histological.
• Complications are unusual if this cancer is treated properly.