A growth on the bottom of right foot was found a month ago.Getting larger gradually.Skin became hard and thick.There is slight pain on the affected area when the lesion under the pressure during walking in the past2 Weeks.Examination & Findings 检查 & 发现A hyperkeratotic plaque (5mm diameter) with verrucoid appearance on the right heel.Assessment & Plan 评估 & 计划Explanation for the skin condition and treatment methods.Laser therapy for lesion once in every 2 weeks.Remove the callus from the surface of lesion by paring.Refer to the laser therapy chart.Follow up in 2 weeks.