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"A scabby finger"
Case preparation: Dr B Rajagopalan Images: Dr C Meehan

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A 40-yr-old man presents with a 4 week history of a rapidly growing lesion on his finger. There is no history of medical illness and he is otherwise well, with no lymphadenopathy nor skin lesions elsewhere. There is no history of trauma.

He seeks a second opinion after consulting a surgeon who diagnosed a malignant tumour and recommended urgent amputation of the finger.