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A 45y/F presenting with painless gradually progressive swelling of left ring finger since 2wks.... Diagnosis &management......?????

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The tumor of distal phalanx of left hand ring finger There are prominent blood vessels on surface It looks like a vascular tumor MRI of local part will help in planning for surgery Further plan after MRI report

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I don't think history is of 2 weeks. May be it is a short history only if it is a malignant tumour with rapid growth. Could be a vascular tumour. A MRI scan and biopsy will be helpful before proceeding to Surgical excision depending upon the FNAC report

Malignancy
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The tumor of distal phalanx of left hand ring finger There are prominent blood vessels on surface It looks like a vascular tumor MRI of local part will help in planning for surgery Further plan after MRI report

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What is the profession of the patient? A history of trauma in recent past? Bleeding time? Prothrombin time? Any such localised gigantism elsewhere in the body or in family? AP X-ray of hand? Status of nail/nailfold? ?altered sensation &2point discrimination? And mobility of TIP jt?

The duration of two weeks is doubtful.however it looks like inclusion dermoid.the excision biopsy may be curative.

Yes Sir Seems to be implantation/inclusion Dermoid. Need Excision Biopsy
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? Epidermoid cyst FNAC required

Epidermoid cyst FNAC to be done

Epidermoid cyst FNAC required.

Are you very sure it's from two wk

Better to excise and get histopathology Then analyse for further management.

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