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Dr XXXXXXX We Liaised Recently Re A Lesion On My

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Posted on Sun, 30 Jun 2019
Question: Dr XXXXXXX we liaised recently re a lesion On my nose. A dermatologist had used liquid nitrogen on it, then I went on holiday and showed a general practitioner as there was still evidence of the lesion. He thought it was a BCC and did a punch biopsy. I sent you the pathology report and you said it was fine. The freezing was done on 4 April and the biopsy taken 4 weeks ago. The last 10 days the area around the freezing site has become slightly raised and now there is also a small lump above the biopsy site. Do you know what might be happening? I will try to attach some photos. If you need the biopsy report again I can try and send again. Im concerned either the cryotherapy or the biopsy has caused some skin tissue damage.
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Follow up: Dr. Dr. Rahul Kumar (0 minute later)
Dr XXXXXXX we liaised recently re a lesion On my nose. A dermatologist had used liquid nitrogen on it, then I went on holiday and showed a general practitioner as there was still evidence of the lesion. He thought it was a BCC and did a punch biopsy. I sent you the pathology report and you said it was fine. The freezing was done on 4 April and the biopsy taken 4 weeks ago. The last 10 days the area around the freezing site has become slightly raised and now there is also a small lump above the biopsy site. Do you know what might be happening? I will try to attach some photos. If you need the biopsy report again I can try and send again. Im concerned either the cryotherapy or the biopsy has caused some skin tissue damage.
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Follow up: Dr. Dr. Rahul Kumar (5 minutes later)
I submitted two photos from today. Can u pls let me know if u received them.
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Follow up: Dr. Dr. Rahul Kumar (0 minute later)
I submitted two photos from today. Can u pls let me know if u received them.
doctor
Answered by Dr. Dr. Rahul Kumar (10 hours later)
Brief Answer:
Post cryotherapy skin changes

Detailed Answer:
Hello there,
Thanks for the query and photographs.

Yes, I remember we had discussed this.

The photographs show a yellowish red elevated discoloration on your nose.
This usually happens post cryotherapy.
Cryotherapy causes damage to cells and these dead cells peel off.

Don't worry, the new skin will appear and your nose will become normal.

Let me know if you have any doubts.
Thank you.


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
doctor
Answered by Dr. Dr. Rahul Kumar (0 minute later)
Brief Answer:
Post cryotherapy skin changes

Detailed Answer:
Hello there,
Thanks for the query and photographs.

Yes, I remember we had discussed this.

The photographs show a yellowish red elevated discoloration on your nose.
This usually happens post cryotherapy.
Cryotherapy causes damage to cells and these dead cells peel off.

Don't worry, the new skin will appear and your nose will become normal.

Let me know if you have any doubts.
Thank you.


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Dr. Rahul Kumar (8 hours later)
I do have some doubts because the area had already bubbled up, scabbed and subsided after the treatment. This is now 2 months after the cryotherapy. It did seem to get worse after the biopsy. That is, an area about the size of a fingernail is now raised. Also, within this general raised area there is a secondary raised ‘ lump’.
I have tried to attach a photo of nose post biopsy where u can see there is some general swelling still from cryotherapy but not as much as now. I took a new pic this morning. I would appreciate your thoughts. I have had liquid nitrogen treatment before but never on nose and this never happened. Many thanks.
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Follow up: Dr. Dr. Rahul Kumar (0 minute later)
I do have some doubts because the area had already bubbled up, scabbed and subsided after the treatment. This is now 2 months after the cryotherapy. It did seem to get worse after the biopsy. That is, an area about the size of a fingernail is now raised. Also, within this general raised area there is a secondary raised ‘ lump’.
I have tried to attach a photo of nose post biopsy where u can see there is some general swelling still from cryotherapy but not as much as now. I took a new pic this morning. I would appreciate your thoughts. I have had liquid nitrogen treatment before but never on nose and this never happened. Many thanks.
doctor
Answered by Dr. Dr. Rahul Kumar (9 hours later)
Brief Answer:
Recovery with time

Detailed Answer:
Hello
Thanks for the follow up.
Sometimes cryo causes damage to sebaceous and sweat glands.
When skin reappears after initial shedding, blebs form under the new skin and cause elevation.
These might disappear on their own with time, If they persist removal with radiofrequency ablator might be required.
I suggest you to wait for another 2 months and then decide further course of action.
Just relax it is definitely not cancer or anything dangerous.
Let me know if you have any doubts.
Thank you.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
doctor
Answered by Dr. Dr. Rahul Kumar (0 minute later)
Brief Answer:
Recovery with time

Detailed Answer:
Hello
Thanks for the follow up.
Sometimes cryo causes damage to sebaceous and sweat glands.
When skin reappears after initial shedding, blebs form under the new skin and cause elevation.
These might disappear on their own with time, If they persist removal with radiofrequency ablator might be required.
I suggest you to wait for another 2 months and then decide further course of action.
Just relax it is definitely not cancer or anything dangerous.
Let me know if you have any doubts.
Thank you.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Dr. Rahul Kumar (1 hour later)
Thank you very much.
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Follow up: Dr. Dr. Rahul Kumar (0 minute later)
Thank you very much.
doctor
Answered by Dr. Dr. Rahul Kumar (21 hours later)
Brief Answer:
Welcome

Detailed Answer:
You are most welcome.
Above answer was peer-reviewed by : Dr. Kampana
doctor
doctor
Answered by Dr. Dr. Rahul Kumar (0 minute later)
Brief Answer:
Welcome

Detailed Answer:
You are most welcome.
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Kampana
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Answered by
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Dr. Dr. Rahul Kumar

Dermatologist

Practicing since :2010

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Dr XXXXXXX We Liaised Recently Re A Lesion On My

Dr XXXXXXX we liaised recently re a lesion On my nose. A dermatologist had used liquid nitrogen on it, then I went on holiday and showed a general practitioner as there was still evidence of the lesion. He thought it was a BCC and did a punch biopsy. I sent you the pathology report and you said it was fine. The freezing was done on 4 April and the biopsy taken 4 weeks ago. The last 10 days the area around the freezing site has become slightly raised and now there is also a small lump above the biopsy site. Do you know what might be happening? I will try to attach some photos. If you need the biopsy report again I can try and send again. Im concerned either the cryotherapy or the biopsy has caused some skin tissue damage.