Case discussion: How would you treat this patient? [14 November]

This week we have another great case from Dr Ravanjit Singh. A 64 year old female presents with a pigmented lesion of root on her neck. The examination showed a firm 2 mm elevated nodular lesion which looked like haemangioma.

Please review the dermoscopic picture below. What would you do next?


Case submitted by Dr Ravanjit Singh


Histopathology showed: Pilomatrixoma incompletely excised as extending to deep edge of excision. What would you do next?

Booked for complete removal/review excision as it can be malignant in 5% cases.

Please share your thoughts in the comment section below. Professor David Wilkinson will provide his opinion and advice.

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4 comments on “Case discussion: How would you treat this patient? [14 November]

  1. Dermocsopically: whitish stuff with a few white lines + few v/s network inferiorly although mentioned looking like a haemangioma. central red area> possible ulceration.

    what would you do? : does not mention size. taking into account of neck with elevated lesion> shaved biopsy or 2mm excisional biopsy, and go from there.
    Pigmented lesion looking like haemangioma> ? Amelanotic melanoma or ?ulcerated BCC or ??others

  2. definitely chaos , I would go for a 2mm excision biopsy and be disappointed (from an academic point of view) if it did not come back from the pathologist as an melanotic melanoma