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Old 10-04-2012
koolkiller88's Avatar
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Skin Sandy Paper Like Skin Lesion

A 64 year old man comes to physician with several small red-brown lesions on his forehead. The patient has been a gardener for much of his life. Physical examination reveals that the lesions have a sandpaper like texture on palpation. The lesions are shown below-
Sandy Paper Like Skin Lesion-07092012822.jpg
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Biopsy reveals basal cell layer atypia with hyperkeratosis and parakeratosis. The patient have a greatest risk of developing which of the following?

A. Psoriasis
B. Kaposi's sarcoma
C. Squamous cell carcinoma
D. Melanoma
E. Dermatofibroma
F. Basal cell carcinoma
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Old 10-04-2012
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sandpaper like texture on palpation - actinic keratosis - risk of SCC development
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Old 10-04-2012
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sq. cell cancer
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Old 10-04-2012
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will go with C) sq. cell ca.
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Old 10-04-2012
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Guys a brief explanation to support your answer would be beneficial too.
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Old 10-04-2012
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Quote:
Originally Posted by koolkiller88 View Post
Guys a brief explanation to support your answer would be beneficial too.
as beka-cts told......sand paper like lesions are seen with actinic keratoses...which has strong causality association with sq.cell ca...caused with extreme UV radiation exposure

hyperkeratosis and parakeratosis usually associate with psoriasis...but can also be seen in neoplasia
so sq.cell ca. may be the right one
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