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DERMATOLOGY CONSULTATION

SUBJECTIVE:  The patient is a 62-year-old white male who presents today concerned about a growth on his lower mucosal lip.  He says that he started noticing this approximately 8 months ago.  He denies any bleeding or pain from this site.  Denies any trauma, which might have initiated this.

OBJECTIVE:  On his lower mucosal lip is a flesh-colored, soft papule measuring approximately 8 mm at the base.  It is soft and non-ulcerated.  He also has on the right temple some ill-defined translucent, telangiectatic papules.  

ASSESSMENT AND PLAN:  
1.  Fibroma, lower mucosal lip.  Reassured patient of the benign nature of this lesion.
2.  Recurrent basal cell carcinoma, right temple, previously treated by cryotherapy.  The patient would like to undergo definitive treatment for this.  Scheduled for Mohs excision of these 2 sites.  Risks and benefits of the procedure were discussed.