
“When we give the most effective therapy at the time of new diagnosis, we get the most value out of the effort and time that we and our patients are spending,” said Neeraj Agarwal, MD, FASCO.
A 71-year-old, previously healthy man presents for evaluation of a new, solitary, painless, pedunculated bump on his chin. Past medical history is negative for surgery or transfusion, and he denies intravenous drug use. His review of systems is negative with the exception of complaints about mild right-sided postero-lateral flank pain.
Pick the best choice for what should be done first:






