Hidradenitis suppurativa. development of eminently chronic, abscessed fistula ducts with inverse pattern of infection, especially on the perineum, scrotum, scrotal root, perianal region, pubic region, inner and outer sides of the thigh. Axilla, upper arm and chest region were also affected. Characteristic is the development of hypertrophic scars and contractures.
Squamous cell carcinoma of the skin: ulcerated, spinocellular carcinoma of the lower leg, which has long been misunderstood as an ulcer (cruris) and thus has been treated unsuccessfully. Remarkable: Only slight pain!
lymphomatoid papulosis: previously known recurrent clinical picture in a 34-year-old female patient. rapid, painless knot formation within 14 days. this finding healed spontaneously with scarring under central necrosis after 3 months. no ectropion!
facial granuloma: red lump, existing for 5 years now, slowly progressing in size and limited in size. small secondary plaques in the surrounding area. histological findings characterized by increasing fibrosis. findings 2 years later (see initial findings in fig., before). treatment with fast electrons. after that clear regression. no further progression. note smooth surface relief. no follicle drawing.
Melanoma, malignant, nodular: Rapid growth in thickness in the last few months "I have already wet and bled once" (see further explanation in the following figure)
Merkel cell carcinoma. solitary, fast growing, asymptomatic, bright red, coarse, shifting, smooth lump with atrophic surface. the appearance in the area of UV-exposed sites is typical.
Carcinoma cuniculatum: Advanced verrucous carcinoma of the sole of the foot (here heel region), which has existed in its early stages for >2 years. No significant pain symptoms. No regional lymph node metastases detectable.
Ulcerated squamous cell carcinoma: cauliflower-like, firm, less pain-sensitive, eroded and ulcerated, weeping nodule, which has been present for > 1 year and is constantly enlarging.
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