70 yr lady with lesion 10yr duration. no other complaints. diagnosis management.

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DD would be 1) BCC 2) Malignant Melanoma 3) Seborrheic Keratosis Treatment Wide local excision and Biopsy. CT for any distant metastasis. But the lesion is asymptomatic for the last 10 yrs, less likely to be malignant. Seborrheic Keratosis may be a probability. Excision and Biopsy would confirm the diagnosis.

Seborroic keratosis

Pigmented lesion could be BCC, or hyper keratotic wart, long history suggestive of the benign nature , advised excision biopsy.

Seborrheic keratosis /BCC

seborrheic keratosis

Malignant melanoma.

seborrhoeic keratosis in old age. no active Rx. wait & watch

less likely malignant melanoma & rare possibility Bcc
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sebhoric keratosis or malignant melanoma..... excesion biopsy

More likely to be a malignant melanoma. Adv ct scan for lymph node status and distant mets. Usg abdomen. Surgery- wide local excision with sentinel lymph node biopsy. Get sr ldh levels

seborrhic keratosis, excision and biopsy

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