1 in Surgery — 72yo Man | General Surgery | SMLE Q#12062
SMLE Question #12062
Surgery
General Surgery
Objective: OBJ-TRACH-EMERG-01
Last updated: February 2026
A 72-year-old man presents with a 1.5-cm erythematous, well-demarcated, indurated, tender plaque on the anterior right thigh, slowly enlarging over 3 months. He reports no trauma, fever, weight loss, or night sweats. There is no palpable inguinal lymphadenopathy. The lesion is superficial, non-fluctuant, and not fixed to deeper structures. What is the most appropriate next investigation to establish the diagnosis?
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