Ramya Vangipuram, MD; Christopher Haley, MD; Stephen K. Tyring, MD, PhD
A 59-year-old African American woman had a rapidly enlarging, nonfluctuant, noninflamed nodule with central ulceration on one finger. She had no history of hand trauma, joint pain, stiffness, or lymphadenopathy; results of a recent complete blood cell count and comprehensive metabolic profile were unremarkable. What would you do next?