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Kaplan Qbank USMLE



Author4 Posts
  #1

A 72-year-old woman developed a small, asymptomatic papule on her left arm several weeks ago. Since then, the papule has rapidly expanded in size. Today’s examination finds this 2-cm nodule with its raised, erythematous border and crusted center. Scattered actinic keratoses are noted on the patient’s hands and face. Axillary lymph nodes are not detected. Her past medical history is positive for basal cell carcinoma affecting her forehead.

WHAT IS YOUR DIAGNOSIS?

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  #2

hey babli. Jinx hant answered this yet??winkwinkgringrin

The lesion was removed by curettage, and biopsy confirmed a diagnosis of keratoacanthoma. This tumor, which is considered a variant of squamous cell carcinoma, is characterized by a rapid growth phase and the presence of a dome-shaped nodule with a central keratin plug or ulceration. Sun-exposed areas are most susceptible. Although many cases will spontaneously involute, there have been occasional reports of metastatic spread. For this reason, most clinicians recommend surgical removal or, when this is not feasible, radiation therapy.



  #3

Jinx didn't know it's from website http://www.emedmag.com but i think you know.you sure are good at copying & paste.good job.bravo!!!

Edited by babli on 06/03/06 - 10:15 AM

  #4

thank yuuuucool jinx is hiding it. I express.!sticking out tongue

Dont take it heavy pal! Jinx!smiling face







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