Clinical Quiz
The Hong Kong Practitioner VOLUME 26 / February 2004

A man presenting with multiple brownish facial nodules
T S Au 區德成

A monthly clinical quiz is published in The Hong Kong Practitioner. Readers are invited to participate and a prize draw, sponsored by Pfizer Corporation Hong Kong Limited, will be undertaken among the successful entries each month. For entry into the draw, simply answer the question, fill in the reply slip and return it to the College by March 5, 2004. Each reader is allowed to submit one entry only. The name of the winner and the answer will be published in the March issue.
Clinical history:

A 65 years old man has noted multiple brownish nodules and plaques on the scalp and face for 8 years. The largest lesion is shown in the picture.

The slide and the question were prepared by:
Dr T S Au, FHKAM(Med)
Senior Medical Officer,
Sai Ying Pun Dermatological Clinic, Social Hygiene Service, Department of Health.

What is the most likely diagnosis?

A. Common wart
B. Malignant melanoma
C. Basal cell carcinoma
D. Seborrhoeic keratosis

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