Case discussion: How would you treat this patient? [02 October]

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? 

Case discussion_Slavko

Case discussion_Slavko     Case discussion_Slavko

Update:

This is the pathology result. What is your conclusion and what are the next steps you would take to treat this patient?

case discussion     case discussion

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]

  1. Leaf like structures, Arborising vessels,spokewheel appearance and minor dermoscopic grey equates to Pigmented BCC. Needs excision biopsy with 2mm margins

  2. Lovely image showing line radial converge segmental and one arborzing vessel. Two milia ( two white clods). Bcc. Excise it.

  3. irregular pigmented lesion with radial lines at the periphery ? Superficial spreading melanoma.Excision with 5mm margin

  4. 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.