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Is this pearly papule cause for concern?

Is this pearly papule cause for concern?

Case:

During a routine skin examination, a papule of several years' duration is noted on the upper lip of a 71-year-old man. The patient states that the lesion has been slowly enlarging; it does not bleed even during shaving.

What does this look like to you?

A. Basal cell carcinoma.
B. Squamous cell carcinoma.
C. Seborrheic keratosis.
D. Melanocytic nevus.
E. Wart.

 

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