Managing skin cancer below the knee.

Mr RR, 74 years of age, developed a nodule on his lower right leg in mid 2005. He was offered the option of excision, skin graft and 10 days bed stay with elevation at a private hospital, but declined due to the cost. He was then referred to a major urban cancer institute for opinion. He was advised that the nodule would most likely fall off and that a 'watch and wait' approach was indicated. Presumably there was a clinical diagnosis of keratoacanthoma.