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Case discussion: How would you treat this patient? [02 October]
Posted on by Abbie Shortt
This week we have another great case from Dr Slavko Doslo. An older female presented for a skin check and there was an obvious standout lesion on her face.
We have the clinical and dermoscopy picture below. What do you think about the lesion? What are the next steps you would take to treat this patient?
Update:
This is the pathology result. What is your conclusion and what are the next steps you would take to treat this patient?
We encourage you to participate in the case discussions and submit your own clinical images and questions so we can all learn together.
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5 comments on “Case discussion: How would you treat this patient? [02 October]”
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Solid BCC for excision biopsy, DDx Melanoma
Leaf like structures, Arborising vessels,spokewheel appearance and minor dermoscopic grey equates to Pigmented BCC. Needs excision biopsy with 2mm margins
Lovely image showing line radial converge segmental and one arborzing vessel. Two milia ( two white clods). Bcc. Excise it.
irregular pigmented lesion with radial lines at the periphery ? Superficial spreading melanoma.Excision with 5mm margin
The dermoscopy is a “text book” BCC. I would definitely biopsy, before treatment. Punch biopsy for me. Treatment by excision would be appropriate, but could also do curette and cautery.