Bleeding Mass on the Great Toe

A 52-year-old man presents with a rapidly growing, bleeding nodule on his great toe following a minor injury. Explore the Differential Diagnosis.

Acral lentiginous melanoma


A 52-year old man presented to the clinic with a bleeding mass on his right great toe. Two months earlier, the patient had noticed a pink nodule on the dorsum of the toe. One month later, his toe was stepped on, after which the nodule grew rapidly and bled intermittently. On examination, the lesion was red and ulcerated with surrounding hyperpigmentation. What is the diagnosis?

What is the most likely diagnosis?

Tophaceous gout
Subungual hematoma
Neurofibroma
Subungual exostosis
Acral lentiginous melanoma

Acral lentiginous melanoma, Dermatology, Foot Lesion, Melanoma, Skin Cancer

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