Is this ulcer Malignant?

A 67-year-old male presented for screening CT for lung cancer. He also shows me these bumps on his right hand that has steadily grown over the last couple of years. The pictures were taken after a punch biopsy and there is a small suture in place. The third picture is a small bump on the left hand, and he reports that this is how the large bumps to the right hand started. Medical Hx: HTN, hyperlipidemia, 1/2 PPD smoker x 40 years, GERD Surgical history: appendectomy Medications: Atorvastatin 20 mg QHS Norvasc 5 mg daily Omeprazole 20 mg daily Allergies: codeine What are these bumps? What is the appropriate course of action?

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Contact dermatitis dd scabies dd bullous impetigo contagiosum dd phemphigus

? BULLOUS PEMPHIGOID.. ? BULLOUS IMPETIGO.. NEED'S.. HPE STUDY..

What is yhe impresssion of HP rrport of sample taken by punch biopsy as you texted ???

bullous pemphigoid