Ace the Oncology Certified Nurse Exam 2026 – Ignite Your OCN Journey!

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What is most likely indicated by a raised, pearly lesion on a patient's upper chest?

Kaposi sarcoma

Basal cell carcinoma

A raised, pearly lesion on the upper chest is most commonly associated with basal cell carcinoma. This skin cancer is characterized by its distinct appearance, often described as having a pearly or shiny lesion with a raised border. Basal cell carcinoma typically occurs in areas of the skin that are frequently exposed to the sun, which aligns with the location on the upper chest.

Additionally, basal cell carcinoma tends to grow slowly and rarely metastasizes, making it less aggressive compared to other skin cancers. Its unique features, such as telangiectasia (small blood vessels surrounding the lesion) and sometimes a central ulceration, further differentiate it from other types of skin lesions. The characteristic visual attributes and growth behavior of basal cell carcinoma strongly support the conclusion that a raised, pearly lesion is indicative of this condition.

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Malignant melanoma

Leukemia cutis

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