HomeAnswersDermatologyactinic porokeratosisI suspect I have cell carcinoma. Kindly help.

I have a sore that crusts over, then falls off and weeps. Is it carcinoma?

Share

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Shanza Ikram

Medically reviewed by

iCliniq medical review team

Published At June 3, 2018
Reviewed AtJanuary 24, 2024

Patient's Query

Hello doctor,

I think I have cell carcinoma. It started a year ago. Tried antibiotic cream, antiseptic cream, fungi cream, etc. In the last two weeks, it has spread. It crusts over, then falls off, and then weeps or bleeds. Very sore and itchy.

Answered by Dr. Shanza Ikram

Hi,

Welcome to icliniq.com.

I have gone through your case (attachment removed to protect patient identity). Right now, your lesion has taken the shape of a scar. The diagnosis of carcinoma can only be made on biopsy and you are already on a dermatologist's list. So, do not panic and be patient. In my opinion, it is just a local spread which has occurred during the last two weeks. And this is because, whenever we itch harshly, any lesion can ooze and form the crust which is beyond the lesion margin as blood spreads easily and crust is dried up blood and pus. So, it seems to you that it is spreading. However, from the above explanation, the diagnosis of carcinoma cannot be excluded as it is based only on biopsy. Be patient. I suggest you keep on applying Sudocrem (Antiseptic cream). Do not apply anything else until you see a doctor. Moreover, it does not look to be an aggressive lesion, so relax.

Patient's Query

Thank you doctor,

I do not itch it. I do not irritate it at all. I have pictures from last month. I have been keeping a diary and it has got bigger.

Answered by Dr. Shanza Ikram

Hello,

Welcome back to icliniq.com.

Previously, you described it as a sore and very itchy disorder. Anyways, repeated crusting and rapid spread are not features of carcinoma. This could be due to actinic keratosis. However, we need a biopsy for confirmation. There is no evidence of fungal infection or bacterial infection, so no need to apply antifungal or antibiotics.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Shanza Ikram
Dr. Shanza Ikram

Dermatology

Community Banner Mobile

iCliniq's FREE Newsletters

Expert-backed health and wellness information, delivered to your email.

Subscribe iCliniq
By clicking Subscribe, I agree to the iCliniq Terms & Conditions and Privacy Policy and understand that I may opt out of iCliniq subscriptions at any time.

Ask your health query to a doctor online

Dermatology

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.

This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy