Punch biopsy of an exophytic lesion

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The main reason for posting anything like this is to encourage medical personnel to consider that this could be cancerous. Two things typically have this growth pattern. The much more common verruca (or wart) or an underlying cancer. When something presents that is this extensive I'd encourage everyone to do a biopsy as this rapid level of growth is a bit unusual. Thankfully this did turn out to be viral (or warty) in origin and we'll have to follow this up with further treatments.