What is the diagnosis and treatment plan

patient complaints with pain sometimes since 3 years...M/H-hyperthyroidism under medication

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Verrucous ca SCC
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CLINICAL impression.. Verrucous HYPERPLASIA Verrucous carcinoma Squamous cell carcinoma. Go for excision bx.
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Correlating with history,P/O : Pemphigus veterans. DD : Verrucous Hyperplasia/Carcinoma/SCC. Advised Bx,IF,IHC, ELISA.
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SUGGESTIVE OF VERRUCOUS HYPERPLASIA.... POSSIBLY... CARCINOMA.. ADVISABLE... BIOPSY C T. SCAN
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Dd lymphangioma Amyloid? Adv biopsy
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