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1800 867 1390Case discussion: How would you treat this patient? [15 January]
This week we have another learning opportunity with a simple, real life and everyday scenario from Dr Slavko Doslo. An 83-year-old patient presented for skin check and noted a suspicious lesion on the shoulder.
From the clinical and dermoscopy images, describe what you notice. How you would biopsy this lesion?
Case submitted by Dr Slavko Doslo
Update:
what would you do next, if anything?
Please share your thoughts in the comment section below. Professor David Wilkinson will provide his opinion and advice.
Learn more about skin cancer medicine in primary care at the next Skin Cancer Certificate Courses:
1300 856 695
+44 203 514 0688
1800 867 1390
Large PSL on right shoulder with dermoscopic chaos and clues of blue-grey clod and structureless area. Deep shave biopsy of the whole lesion is possible to confirm the pathology.
Chaotic with clues.
Excision biopsy 2mm margins.
This is a very suspicious pigmented lesion
Ddx is Pigmented BCC and MM
Excise with 4 mm margins
why 4mm margins Kiran?
Chaos of structure and colour, and clues of grey area and eccentric structureless area and a small area of thick line reticular….excision biopsy to rule out MM.