Case discussion: How would you treat this patient? [11 September]
This week we have a great case from Dr Umesh Sharma. A 52-year-old female presented for a first-time skin check after her husband was diagnosed with level 1 melanoma and a couple of BCCs recently. On examination, a lonely pigmented modular lesion was located hiding in the right lower lateral skin fold on the back.
We have the dermoscopy picture below. What do you think about the lesion? What are the next steps you would take to treat this patient?
Case submitted by Dr Umesh Sharma
This lesion scores 3 on the 3 point checklist and is asymmetrical and disorganised enough to mandate excision biopsy with 2mm margins. Melanoma until proven otherwise in my view.
– Prof. David Wilkinson
Please share your thoughts in the comment section below. Professor David Wilkinson will provide his opinion and advice.