Instructions
You are a medical student on placement in general practice. Frank Doherty, 74, a retired builder, is here for the result of a biopsy of a sore on his right ear. The report is below.
Take a focused history
Interpret the report
Explain the result and your management plan to the patient
Histopathology: right helix lesion
| Item | Value | Reference range |
|---|---|---|
| Diagnosis | Invasive squamous cell carcinoma, moderately differentiated | - |
| Tumour thickness | 4 mm | - |
| Perineural invasion | Not identified | - |
| Lymphovascular invasion | Not identified | - |
| Peripheral margins | Clear by 1 mm | - |
| Deep margin | Involved | - |
Shave biopsy of a crusted, non-healing lesion on the right helix.