A 60/M prsnt h/o this abn mass growth over the tip of the nose which is slowly incrsng in size from last 10 yr! Dx? Rx?

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D/D - Trichofolliculoma of nose with secondary changes Nasolabial cyst with secondary infection Dermoid cyst with secondary infection Sebaceous keratoma

BCC OR KERTOACTHOMA BX ONLY CAN COFIRM

Basal cell carcinoma (?)

YInfected Dermoid cyst.

Old age,irreguler rough margin,slow painless swelling over marginal mucocutaneaos junction of lip for many years highly suggestive of basal cell ca.excision bipsy on urgent basis should be done.

D/D KERATOCANTHOMA BCC There is anterior cartilagenous septal absorption as well

Tumour benign or malignant after biopsy HP confirmation

Basal cell carcinoma

MELANOCYTIC TUMOUR ECVIONAL BIOPSY

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