60 yrs old male from khagaria district of Bihar having above lesions on left leg n foot, with enlarged ipsilateral Inguinal lymph node. Having H/o Amputation of left great toe 1 yr ago. No H/o DM, HTN, TB. Diagnosis n management???

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Please get a biopsy from the UPG and FNAC/biopsy from the inguinal node. Do a CECT Abdomen and pelvis, it would be wise to do a CT thorax also to look for any distant mets ( if on HPE found to be malignant). If locoregional then surgery followed by adjuvant treatment, if metastatic then the intent would be palliative. Extent of surgery, adjuvant treatment and palliative treatment depends upon the HPE and radiological findings

Chromoblastomycosis

see the Cauliflower like proliferative growth
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? MALIGNANCY.. SCC .. ? CHROMOBLASTOMYCOSIS .. NEED'S.. HISTOPATHOLOGICAL STUDY.. ONCOLOGISTS OPINION..FOR FURTHER MANAGEMENT..

chromoblastomycosis is more likely than squamous cell carcinoma or other malignant lesions. Investigation of punch bx to confirm and rule out malignancy. Treatment is wide surgical excision plus oral/injectable antifungal agent with antibiotics if turns to be chromoblastomycosis or benign lesion.

Dr Pt having h/o amputation of left great toe 1yr ago cause??

non- healing infected wound , involving hoti bone
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Sq cell carcinoma

is ia a squamous cwll carcinoma or some kind of cutaneous sarcoma like darmato rabdyosarcoma

sqamous cell carcinoma, advised below thigh amputation

chromoblastmycosis.

Biopsy report of amputated great toe shows squamous cell carcinoma... 1yr ago. Now, What is his management??

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