Clinical Quiz
The Hong Kong Practitioner VOLUME 30 / December 2008

A man presenting with a nodular lesion on his hand
Stanley C K Ho ¦ó¥¿ºõ


A 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. For entry into the draw, simply answer the question, fill in the reply slip and return it to the College by 30 January, 2009. Each reader is allowed to submit one entry only. The name of the winner and the answer will be published in the March 09 issue.

Clinical history:

A 60-year old man presented with a 2-month history of a nodule on the hand. It had first presented as a small papule on the dorsum of the hand which had rapidly increased in size in the past few weeks. He was otherwise asymptomatic and in good health and enjoyed playing golf.


The slide and the question were prepared by:
Dr Stanley C K Ho,
MRCP(UK), FHKCP, FHKAM(Med)
Medical Officer,
Social Hygiene Service, PHSB, DH.

What is the diagnosis?

A. Squamous cell carcinoma
B. Keratoacanthoma
C. Basal cell carcinoma
D. Seborrhoeic wart

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