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There is a focus of superficial squamous cell carcinoma at the 7:30- and 9:00-o'clock position, as well as the 6:00 to 7:30 position. Of note, the 6:00 to 7:30 position was a focus of the deep margin. The skull vertex and bone margins were also positive at that time.
PATHOLOGY: Further peripheral skin biopsies located at 10:30 to 12:00; 9:00 to 10:30; 4:30 to 6:00; 3:00 to 4:30; 1:30 to 3:00; and12:00 to 1:30 were all negative for carcinoma. The 7:30 to 9:00 o'clock biopsy showed a focus of superficial invasive squamous cell carcinoma and a background of actinic keratosis