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Exophytic and ulcerated lesion on the leg

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Unknown: Exophytic and ulcerated lesion on the leg
María Jose Espiñeira-Carmona MD, Salvador Arias-Santiago MD, José Aneiros-Fernández MD, Maria Antonia Fernández-Pugnaire PhD, Ramón Naranjo-Sintes PhD
Dermatology Online Journal 16 (10): 12

San Cecilio Clinical Hospital, Granada, Spain. mariapepa84@hotmail.com

A:Case synopsis


Figure 1 Figure 2

A healthy, 34-year-old male presented with a 1-year skin history of a lesion on the right leg that had been undergoing steady growth and causing discomfort. There was no previous history of trauma or injury in the area. On physical examination there was an exophytic nodule of 2 cm x 3 cm in diameter, joined by a pedicle to the skin. The surface eroded and crusted in some areas, but otherwise was smooth surface and surrounded by a pinkish-brown patch (Figure 1). A month later the nodule showed a significant increase in size. Surgical treatment under local anesthesia was performed. Histological sections are shown in Figure 2.

What is your diagnosis?




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