Concluded Case

Diagnosis and treatment

Pt is 30 years old male working in IT industry suffering from skin problem since 2 years .No History of Sugar BP Thyroid All the vitals are normal No family history significant

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Growing melanoma But as occupational hezard HP EXAM TO EXCLUDE Kaposi as likely is not perhaps the Kaposi sarcoma Elisa for HIV MYCELIUM IF ANY FOR MYCETOMA

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Large pigmented lesion of foot for 2 years Differential diagnosis Melanoma Large benign melanocytic naevus Pigmented basal cell carcinoma Pigmented squamous intraepithelial lesions Angiokeratoma Angiosarcoma Dermatofibroma Dermatofibrosarcoma Adv Excision biopsy and histopathology

Black pigmented lesion.. Dd. Melanocytic nevus Melanoma Pigmented seborrhoeic ketatosis Lichen planus pigmentosus. Sug.. excision bx.. with rims.. of tissue around. Look for inguinal node status.. If palpable.. go for bx

Growing melanoma But as occupational hezard HP EXAM TO EXCLUDE Kaposi as likely is not perhaps the Kaposi sarcoma Elisa for HIV MYCELIUM IF ANY FOR MYCETOMA

Some more detail history of lesion should be discussed No pain itching speed of growth etc associated with it pigmented nevus Melanoma

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Malignant melanoma A wide excision- with adequate margin of 2 cms and in depth also - and send it for Histopathology

POSSIBLY DISTANT. 1. METASTASIS . 2. ..DYSHYDROSIFORM BULLOUS PEMPHIGOID. BLISTER .... FRICTIONAL NECROSIS AND. GANGRENE .. 3. MELANOMA .. NEEDS 1. BIOPSY 2. ALL. ROUTINE. EVALUATION 3. X. RAY 4. CLINICAL. CORRELATION

Thank you doctor
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? MELANOMA.. ? KS .. NEED'S.. HPE..STUDY.. SURGEONS OPINION..

Tnx Dr Md Altaf Hussain
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Malenoma.. HP can be more conclusive about the pathogenesis involved.

Thank you doctor
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Melanoma Ad Biopsy after results of reports start treatment

? Melanoma / Kaposi's disease

Thank you doctor
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