PAEA Surgery End Of Rotation (EOR) Practice Exam

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What is the appearance of morpheaform basal cell carcinoma?

Scaly plaques with defined borders
White to yellow patch with poorly defined borders
Pearly white with telangiectasias
Ulcerated and bleeding

The correct answer is: White to yellow patch with poorly defined borders

The appearance of morpheaform basal cell carcinoma is characterized by its presentation as a white to yellow patch with poorly defined borders. This type of basal cell carcinoma often exhibits a scar-like or sclerotic appearance, where the surface may appear smooth or slightly waxy. The poorly defined borders help differentiate morpheaform basal cell carcinoma from other forms, as it typically lacks the distinct edges found in more common types. While other forms of basal cell carcinoma, such as nodular basal cell carcinoma, may present with a pearly white appearance or develop telangiectasias, morpheaform specifically does not share these characteristics. Similarly, the ulcerated or bleeding appearance is more indicative of advanced or aggressive skin lesions rather than the morpheaform variety. Understanding these features is crucial for accurate diagnosis and treatment strategies for skin cancers.