A 67-year-old male patient presents for a routine skin check. He has a history of squamous cell carcinoma of the forearm. He is otherwise healthy. During the examination you note the following lesion on the pre-auricular cheek.
- The patient reports it has been present for years.
- It is asymptomatic and has never bled.
- The rest of the patient’s skin exam is remarkable for some chronic sun damage.
What is your diagnosis?
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