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Previous Topic | Next Topic  24. A 4 year old with a purple skin lesion 




 
Kaplan Qbank USMLE



Author5 Posts
  #1

24. A 4 year old child is evaluated for a large lesion occupying most of one thigh. The lesion has a purplish hue and poorly defined margins. It is slightly raised over most of tis surface, with focal areas of nodularity, some of which have a roughened skin surface. The mother does not know exactly when the lesion first appeared, but says it has been slowly darkening for about 2 years. Most likely diagnosis:

A. Capillary hemangioma
B. Cavernous hemangioma
C. Dermatofibroma
D. Keloid
E. Nevus Flammeus




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  #2

C

  #3

Correct Answer is B...

Does anyone want to say what a cavernous hemangioma is and how the other choices would present?




___________________
Our greatest glory is not in never falling, but in rising every time we fall.

  #4

how can u differentiate it from choice e

  #5

Are you sure it's B?

"Cavernous hemangiomas are the most common intraorbital tumors found in adults. These benign, vascular lesions are slow growing and can manifest as a painless, progressively proptotic eye"

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