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* Ck Free150 - Geriatircs - whats the diagnosis
 #841838  
  dream250 - 06/17/17 19:41
 
  A 67-year-old woman comes to the physician 1 month after noticing a nontender nodule on the back of her left hand. She initially thought it was an insect bite, but it has grown in size over the past week. It bleeds when she picks at it. She has no history of serious illness. She lives in a retirement community in Florida and frequently plays golf and tennis. Examination of the dorsum of the left hand shows a 2.5-cm lesion. Photographs of the lesion are shown. Which of the following is the most appropriate next step in management?

(A) Observation
(B) Topical application of fluorouracil
(C) Sentinel lymph node biopsy
(D) Cryosurgery
(E) Excision of the lesion

-0-----
what's the diagnosis here?
 
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* Re:Ck Free150 - Geriatircs - whats the diagnosis
#3341277
  cardio69 - 06/17/17 20:12
 
  "She lives in a retirement community in Florida and frequently plays golf and tennis"
What's 2nd MC tumor arising on sun exposed sites in elderly, that exceeded only by BCC?
 
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* Re:Ck Free150 - Geriatircs - whats the diagnosis
#3341292
  dream250 - 06/18/17 10:22
 
  I already had a diagnosis in mind, squamous cell carcinoma. I'm just confirming it by others since there are no explanation given.  
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* Re:Ck Free150 - Geriatircs - whats the diagnosis
#3341352
  cardio69 - 06/18/17 20:33
 
  "what's the diagnosis here?" YES, SCC.
I just dissected what u miss.
 
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* Re:Ck Free150 - Geriatircs - whats the diagnosis
#3341360
  dream250 - 06/18/17 23:04
 
  Thank you for helping!  
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