5. You consent Mr. Smith for an incisional biopsy of the nose lesion and he agrees with the plan. He understands the risk of pain, swelling, bleeding, and rarely skin infection with the skin biopsy. He is aware of the risk of a scar and the rare potential risks from the local anesthetic. Mr. Smith tolerated the procedure very well. You send the biopsy to the lab. 2 weeks after, the biopsy results come back. The report says, “incision biopsy of skin (dorsum of nose) showing well differentiated squamous cell carcinoma”. After confirming the diagnosis, you make a referral to dermatology for the next step of management. Which of the following is NOT a clinical factor for high risk recurrence of SCC?
