52 years male Complaining painful vesicular swelling on left shoulder since 3 months . No discharge No itching Not diabetic and not hypertensive Given history of applying the chemical and tiding with hair at the base 2 days back. What is the diagnosis ? Treatment ?

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Probably it is pedunculated wart to which the pt applied a tight hair and applied some unknown medicine which caused the lesion to be infected and assumed the present shape. I think it is an infected wart and it is to be excised under antibiotics cover and send for the biopsy to confirm the diagnosis.

? INFECTIVE GRANULOMA.. ? MALIGNANCY.. * HPE STUDY..

Tnx Tnx Dr Amitabha Dasgupta
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Its a case of hemangioma.

Considering short history malignancy should be kept first in mind. Wide excision and send for HPE

Hemangioma

Infective granuloma or granuloma piogenicum is most probable one , excision under LA and HPE would clinch the diagnosis.

Looking malignant, biopsy required.

Infective granuloma Granuloma puogenicum Malignancy biopsy Surgical removal

inv. required

Squamous Cell Carcinoma? Need Biopsy to confirm.

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