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Case 129: Rapidly growing skin lesion

1. What is the diagnosis?

The history of this lesions rapid growth should always raise the possibility of a keratoacanthoma. The rounded edges and central keratin plug support this diagnosis

2. What are the options for treatment?

This lesion should be excised. It is large, possibly too large for a keratoacanthoma (these often only reach 2cm's at their largest) and the distinction on macroscopic examination is often impossible.