| • | excise with minimum 4mm margin |  
 | • | pearl:   watch out for the white papule on the face (is not pearly, no telangiectasia, and does not look like a basal cell - but it is)   (you will be tempted to call it an "adnexal neoplasm" but biopsy it because this is a phenotype for some people's basal cell's - i.e.  when the same patient makes another banal appearing white papule, it too turns out to be a bcc) |  
  
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