Lim
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A 50-year-old man consults a physician because of a lesion on his nose. On examination, a flesh-colored lesion about 1 cm in diameter, with a rolled edge and central ulceration, is observed. Which of the following is the most likely diagnosis?
A. Basal cell carcinoma
B. Eczema
C. Psoriasis
D. Urticaria
E. Verruca vulgaris
Btw, how can you differentiate Sqm cell ca,BCC and Melanoma in gross description in Qs?
thanks in advance.
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| Leopard
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This is BCC in the given options.SCC may be present with same piture in scenario.ONly histology can differentiate ,I guess.
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| Lim
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Thanks again,Leopard.
if there was a choice,'SCC',could it be confusing?
http://health.yahoo.com/topic/skincancer/overview...
hard to diff in gross....gross pictures in other sites and books are totally different.
pearly(BCC) and so on...
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| Leopard
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Thanks cute Kitten
Really very nice informative pictures
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| sridevibandaru24
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rolled out edge with a central ulceration clearly indicates it as basal cell carcinoma
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| new_n_lost
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Dr Goljan says that as rule anything above the Upper Lip is to be considered as BCC n BCC as a Catered Volcano type of look with sandy material in it
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| Lim
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oh..i see i understood those words like..."upper lip ; BCC lower lip ; SCC" thanks,new_n_lost
but Volcano type is keratoacanthoma?
(dome-shaped keratin filled crater)
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| new_n_lost
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yup if u see his notes he has it clearly mentioned that "histological appearence is confused with SCC but a Keratoacanthoma has scarring n no ulcer formations while a BCC has a cater with a pearly white colour nodule
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FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
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