Male patient aged 35 years Reported to OPD with this swelling for last few years which is gradually progressive in nature Kindly comment

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Epidermal inclusion cyst. Epidermal inclusion cyst is a benign cyst usually found on the skin. The cyst develops out of ectodermal tissue. Histologically, it is made of a thin layer of squamous epithelium. The surface of skin (epidermis) is made up of a thin, protective layer of cells that your body continuously sheds. Most epidermoid cysts form when these cells move deeper into your skin and multiply rather than slough off. Sometimes the cysts form due to irritation or injury of the skin or the most superficial portion of a hair follicle.

Possiblity of "DFSP" ???? Neurofibromatosis. Dermatofibrosarcoma Protubearns. It is commonly found on the torso, usually in the shoulder and chest area. The tumor typically grows slowly but has a tendency to recur after being removed. It rarely spreads to other parts of the body. The cause of DFSP is unknown, but injury to the affected skin may be a predisposing factor. Treatment choice Mohs Micrographic Surgery

Pedunculated lipoma or mollascum There are multiple mollascums one of them is enlarged and pedunculated Rx excision/cauterization

Thanx dr Abira Nousheen F
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I fully agree and congratulate Dr Parths Sarathi for clinical diagnosis. Dermatofibrosarcoma protuberans (DFSP) is a low-grade soft tissue tumor occurring in the dermis and subcutaneous tissues, which accounts for 1% of all soft tissue sarcomas. In this image there are few skin Coloured Papules also seen. At one place erosion seen with mildly scaly lesion. Excision biopsy and HP study must be done for definite diagnosis. I will be thrilled to see micro photographs of HP of this patient. Regards to Dr Paratha Sarathi .

Your opinion matters a lot... Pranam Sir.
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LOOKS LIKE TWO DIFFERENT TYPES OF LESIONS NEAR TO EACH OTHER .. ? ACROCHORDONS..AND.. ? DERMOID CYSTS ? DERMATOFIBROMA

Tnx Dr Rajendra Rai
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??? Dermatofibrosarcoma Protuberans

Respected @Dr. Pankaj Jagirdar Sir requested to kindly share his views.
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Keloid Lipoma Dermoid cyst Epidermal cyst

Dermatofibrosarcoma Protuberans(DFSP) is a rare type of cancer, a soft tissue sarcoma that develops in the deep layers of skin. It is sometimes described as having tentacles that can grow into surrounding fat, muscle and even bone.

SUGGESTIVE OF DERMATOFIBROMA EPIDERMAL INCLUSION CYSTS... DD NEUROFIBROMATOSIS KELOIDS ADVISABLE... BIOPSY

Neurofibramatosis 1, Pachydermatocele SURGICAL excision

Thank you, Doctor
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