All cases in Skin Tumours

Mycosis fungoides

Mycosis fungoides

 This 38-year-old lady presented with more than one year history of non itchy unilateral erythematous scaly indurated plaques on the lower limbs. There were no organomegaly or lymphadenopathy. Skin biopsy showed typical histologic features of mycosis fungoides.

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Basal cell carcinoma

Basal cell carcinoma
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A 62-year-old man presents with pigmented-ulcerative lesion in the right infraorbital region of 18-months duration. It has been excized with an about 0.5 cm safe margin and primarily closed. Biopsy revealed as expected BCC.

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Basal cell carcinoma

Basal cell carcinoma
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An 80-year-old man presented with a slowly growing oval ulcer covered with bloody-purulent crust and has rolled up border with easily bleeding tendency of three years duration. It has been excised and primarily sutured under LA with excellent results. Three years later on follow up there was no recurrence.

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Squamous cell carcinoma complicating LSC

Squamous cell carcinoma complicating LSC

A 45-year-old man presented with long history of lichen simplex chronicus on the right lower leg of > 5 years duration. At last one and a half year an ulcer has developed and progressed slowly. On examination,  an ulcer about 12 x 7 cm with an irregular outline, clean red base and punched out border surrounded by thickened dyspigmented skin was seen. Incisional biopsy revealed SCC.

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Seborrhoeic keratosis

Seborrhoeic keratosis

History

           A 34-year-old woman complained of an asymptomatic, solitary, large, ugly-looking, darkly-pigmented warty nodule with greasy papillating surface involving the breast of two years duration. The lesion has been removed by shave excision under local anesthesia.
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Secondary cutaneous plasmacytoma

Secondary cutaneous plasmacytoma
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History

        A 35-year-old man presented with an asymptomatic, solitary, mushroom-like, firm, red, slightly crusted nodule on the abdominal wall of 3-4 months duration. He had no other complaint. Excisional biopsy revealed secondary plamacytoma (biopsy showed nodular and diffuse collections of plasma cells with varying degrees of pleomorphism and atypia). Further assessment by an oncologist with relevant investigations a hidden asymptomatic multiple myeloma was discovered.
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Multiple leiomyomas

Multiple leiomyomas

History

         A 30-year old male presented with multiple skin-colored to pinkish  nodules of10 years duration. Upper lesions were itchy whereas lower lesions were painful and tender. A syrian dermatologist had treated some of the lesions with laser (type of laser ?) and many lesions recurred with itching. O/E upper lesions (recurred ones) were firm to hard to palpation while lower lesions were smooth to ruberry in consistency. Skin biopsy revealed leiomyomas whereas recurred lesions were in fact keloidal scars (complicated laser therapy).
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Squamous cell carcinoma

Squamous cell carcinoma

History

          A 65-year-old man presented with a painless exuding ulcer with an irregular purplish border and granular base on the abdomen of 6 months duration. There was no associated systemic disease and it didn’t respond to many topical and systemic antibiotics. Biopsy revealed SCC.
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