Skin tumours: kangri cancer: practice question

A Dermatology question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

Try it

Dermatology · Skin tumours: kangri cancer

Sample item

A 60-year-old Kashmiri man who keeps a kangri (firepot) under his clothes has a non-healing ulcerated nodule on the thigh with hyperpigmented reticulate skin around it. What is the most likely diagnosis?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

B. Squamous cell carcinoma (kangri cancer)

Kangri cancer is squamous cell carcinoma arising on chronically heat-damaged skin of the thighs and abdomen from the Kashmiri kangri. It is a form of Marjolin-type ulcer in erythema ab igne. Treatment is wide excision with assessment of regional nodes.

Option by option

  • A. Melanoma

    Melanoma is not the typical tumour of chronic heat damage.

  • B. Squamous cell carcinoma (kangri cancer) (correct)

    Correct. Chronic heat injury leads to SCC, known as kangri cancer.

  • C. Cutaneous tuberculosis

    Skin tuberculosis does not produce this clinical setting.

  • D. Basal cell carcinoma

    BCC is less typical at this site.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

More Dermatology questions

Questions about this Dermatology question

What is the answer to this Dermatology question?

The best answer is B, Squamous cell carcinoma (kangri cancer). Kangri cancer is squamous cell carcinoma arising on chronically heat-damaged skin of the thighs and abdomen from the Kashmiri kangri.

Why is "Melanoma" not the answer?

Melanoma is not the typical tumour of chronic heat damage.

Why is "Cutaneous tuberculosis" not the answer?

Skin tuberculosis does not produce this clinical setting.

Why is "Basal cell carcinoma" not the answer?

BCC is less typical at this site.

What concept does this question test?

It tests Skin tumours: kangri cancer in Dermatology. It is a form of Marjolin-type ulcer in erythema ab igne. Treatment is wide excision with assessment of regional nodes.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Skin tumours: kangri cancer?

Learn each condition by its primary lesion, site and signature sign. Then use the flashcards and the other Dermatology questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.