An 89-year-old man with no past medical history of interest consulted for an asymptomatic lesion that had arisen on his left heel 40 years earlier and that had become ulcerated in recent months. Examination revealed an indurated, sessile, skin-colored tumor of 3.5 × 4 cm, with a superficial, exudative brownish-yellow scab (Fig. 1A). Skin ultrasound (18 MHz linear probe) revealed a well-defined,...