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What appearance do lesions described as 'firm' typically have?

  1. Soft and pliable

  2. Close to the skin with a soft touch

  3. Elastic and rubber-like

  4. Closely compressed and compact

The correct answer is: Closely compressed and compact

Lesions that are described as 'firm' usually exhibit a closely compressed and compact appearance. This characteristic indicates that the tissue has a denser texture, often a result of increased cellularity or a robust extracellular matrix. Such lesions may feel solid when palpated, suggesting they do not yield easily under pressure, which distinguishes them from softer lesions that may be more pliable or rubber-like. The compact nature of firm lesions can often be observed in conditions such as fibromas or certain types of neoplasms, where the integrity of the tissue structure contributes to their firmness. This aspect is important in clinical assessments as it helps in differentiating types of lesions based on their physical properties.