A 51-year-old male presented to the office with the chief complaint of a skin growth on his right medial heel. He related that the mass has grown slowly over the prior year. He did not have any severe pain with it other than shoe irritation. The skin lesion would bleed easily with any pressure on it.
He denied any injury or punctures to the skin. His past medical history was remarkable for diabetes, coronary artery disease, hypertension, anemia, chronic obstructive pulmonary disease (COPD), sleep apnea, obesity and gastroesophageal reflux disease (GERD).