A 63 year old female presented with asymptomatic lumps, 2 in number on her left antero-lateral thigh of 10 months duration. On examination the larger nodule was of size 16 × 12 cm with a smooth surface, firm to soft in consistency and with dilated veins over it. What it could be and management for this.

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PYODERMA ...Rule out DM DO ' BIOPSY

Seems a soft tissue tumor or Kochs. Get MRI.

Thank you sir
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I/ d done , Smear culture , done Start Higher Antibiotics

@Dr. Salim S Shaikh R u a Homeopathic doctor??? Really I wonder how suggest Allopathic drug here in CUROFY where there are many stalwarts of Allopathy. Sorry, don't misunderstand me.. Try to perceive my advice.
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Go with further investigations.....

ok sir thanks
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PL.do MRI, blood CBC ESR VDRL test must sir is helpful.

Soft ttissue tumor

Thuja 1M one dose . Kali Iod 300 weekly .

Blind treatment in a case that seems purely surgical is not advisable.
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Osteochondroma DD: Osteosarcoma Dermatofibroma Fibroma of Neurofibroma Metastatic bone tumor( considering age) Pilonatrichoma MRI,FNAC, can confirm diagnosis

Thank you sir
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A soft tissue tumour or sarcoma most likely. Get an F.N.A.C done .Tuberculosis is second possibility

Kindly do MRI before FNAC. In most cases MRI would be pretty clear with the diagnosis.
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Surgical management

Thanks mam
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