Case discussion: How would you treat this patient? [19 February]

Posted on by Abbie Shortt

This week we have another interesting case discussion from Dr Slavko Doslo. A 85-year-old male presents for a regular skin check with a melonoma removed by another GP. The skin check revealed a suspicious lesion.

Please describe what you see. How you would biopsy this lesion?

Slavko_200217_1 Slavko_200217_2

Case submitted by Dr Slavko Doslo

Update:

What is your interpretation and 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.

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5 comments on “Case discussion: How would you treat this patient? [19 February]”

  3. white brown structureless area, red dots, chaos lesion, ? thick line reticular not sure of?, and some subtle polygons….excise

    Reply

  4. Dermocsopically: slightly pale structureless top-centrally with grey dots and a few thick reticular.

    What is your interpretation and what would you do next, if anything?

    You already given report – Melanoma in situ (level 1). The doct (Doslo) has already removed with good margin tumor 4mm, with margin (24x12x2mm). However you mentioned “a melanoma removed by another GP” – where and which part of body ?? (same place or different sites???). Look for metastasis, however I would focus on quality of life intervention in view of aged 85. Happy with Dr Doslo.

    Reply

  5. Yes, thanks for this case
    and Yes, I was wondering if a further excision is necessary.?
    Would you just use an ellipse?
    With big lower limb wounds do you routinely use antibiotic prophylaxis ?

    Reply