Review Question - QID 213419

A 67-year-old woman presents to her primary care physician with a non-healing lesion. She states that she noticed the spot 8 months ago. She thought it was just a bug bite on the left side of her face and had been putting an over-the-counter antibiotic ointment on it. The area has continued to grow in size. She denies pain or bleeding but says the lesion is sometimes itchy. Physical examination is notable for a papule located lateral to the patient’s left nasal ala, shown in Figure A. The lesion is biopsied. Which of the following histologic patterns is expected to be seen?