Although the nose is a common location for basal cell carcinoma (BCC), the nasal ala represents a location where visualization and biopsy of suspected BCC can prove especially difficult. The ala's angulated structure and background features, such as telangiectases, can make the characteristic features of BCC challenging to appreciate (Fig 1). In addition, biopsy of the region can be cumbersome because of the inherent flexures of the nasal ala.
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