An 80 y/o M, agriculturist, presented with h/o verrucous ulcer, with crusting over the left leg since one year. Also h/o an injury caused by a coconut shell one year back which developed to the present ulcer. The examination revealed a single 5x5cm, painless ulcer with excoriation of the surrounding skin. Dx and dd?

A hearty good evening Curofians. Weather can get no better than this. Case details : 57 years male presented with a medium sized swelling over the left mid sole of a duration of over 8 months reaching the current size. The swelling made the patient limp with pain when he exerted pressure over it to walk. On examination the swelling appeared somewhat soft to firm. FNAC was done and cytosmears studied. Posted below is one clinical image and 13 FNAC images. 1. What is your differential diagnosis for the clinical image provided? 2. Give your cytological description and impression. 3. What are the further suggestions based on your cytological findings. Kindly answer precisely and to the point, as the weightage of accepted answer depends on these. Thank you. Best regards. [Credit : Dr.Kazi Wajid Husain,.MD]

30’s BF presents with ulcers to BLE x5 yrs. no pain when scabbed over, neuropathic pains when no scab formed. Starts small and grows. Has never gone away. 3 areas pictures now, all 3 on anterior lower calf. No fever, VS WNL, obese, no hx Diabetes or other chronic conditions, no abnormalities on CBC, CMP, or arthritis panel. Has been seen by multiple specialists in the area with no effective treatments. Currently using betadine and 2x2 with coban to keep covered. Has tried multiple ointments, leaving open to air and covering.

A male patient aged around 65 years presented with the history of swelling of the left feet for the past 6 years . Initially there was a temporary on and off relief in the swelling but for the last 2 year's it is permanent. O/E Swelling of the left feet present Non pitting edema present Kaposi- stemmer sign present( inability to pinch the skin of the 2 nd toe) Skin surface is thickened with multiple nodules and verrucous growths No discharge present Vien's above the swelling appear swollen Foul smell present Swelling of the left inguinal lymph nodes( nontender, discreet) present General examination- Normal Inv- Complete blood count, renal , HIV and hepatic test done and they're normal I have sent for biopsy KINDLY GIVE YOUR OPINION

55 Year male field labour(farmer) h/o this lesion since 5 Years ulceraration excerbated in summer diagnosis & management?