WHEN IDENTITY CONCEALS: UNMASKING WARTY DYSKERATOMA DISGUISED AS KERATOACANTHOMA
Dr. Tapsh Thakur*, Dr. Aabha Sharma, Dr. Naqsh Thakur and Dr. Yogita Bhansali
ABSTRACT
Warty dyskeratoma and keratoacanthoma (KA) are cutaneous neoplasms characterized by nodules with central keratotic plugs. Warty dyskeratoma, a benign tumor, typically appears on the head and neck, while KA is a variant of squamous cell carcinoma (SCC) known for rapid growth and potential regression. We present a distinctive case of a 46-year-old man in IGMC Shimla with an itchy, rapidly developing nodule on the right side of occipital scalp. Histopathological analysis revealed cup-shaped epidermal invagination, acantholysis, and dyskeratotic cells, diagnosing it as warty dyskeratoma. This case illustrates the challenge in differentiating between warty dyskeratoma and KA, highlighting clinical, histological, and treatment distinctions.
Keywords: SCC, dyskeratoma and keratoacanthoma (KA).
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