Concluded Case

Please dx & rx?

65 yrs female c/o such single lesions over face region since 5 yrs gradully increasing. No itching, mild pain. Dx & Rx please?

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Concluded answer

My first thought is Lupus Vulgaris. Central healing and erosive border at places make me think to rule out Lupus vulgaris. Anyway other DD still stand like Porokeratosis with SCC Even long standing Lupus Vulgaris one may get SCC. I would prefer biopsy from 2 sites. 1. Raised edge 2. Papule at top Histopathological study will make us wiser. Regards to Dr Partha Sarathi Sahana

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My first thought is Lupus Vulgaris. Central healing and erosive border at places make me think to rule out Lupus vulgaris. Anyway other DD still stand like Porokeratosis with SCC Even long standing Lupus Vulgaris one may get SCC. I would prefer biopsy from 2 sites. 1. Raised edge 2. Papule at top Histopathological study will make us wiser. Regards to Dr Partha Sarathi Sahana

Many thanks for kind response, Sir.
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?? Porokeratosis of Mibelli / BCC / Keratoacanthoma centrifugum marginatum

Thank you doctor
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Appears to be basal cell carcinoma. Adicr biopsy

Thank you doctor
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? MALIGNANCY.. ? BCC .. NEED'S.. HPE..STUDY..

Tnx & wc Dr Rifaqul Islam
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POSSIBLY ... MALIGNANT . CHANGES NEEDS BIOPSY

Thank you doctor
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BCC biopsy required

Thank you doctor
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