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A 56-year-old construction worker who lives in El Paso presents with a large, indurated, scaly, erythematous lesion of the left hand. A clinical photo is depicting in Figure A. He reports this lesion appeared about 2 years ago and has progressively worsened over the last several months. A punch biopsy is performed with Figure B demonstrating the histologic findings. What is the most appropriate treatment option for this patient?
Cultures at 30-32° C with culture sensitive anti-mycobacterial agents
Rheumatologic consult for disease modifying antirhuematic drugs
Local fractionated radiation
Wide local resection
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Which of the following best describes a squamous cell carcinoma that develops as a result of chronic drainage from sinus tracts or a result of burn scars?