1300 856 695
+44 203 514 0688
1800 867 1390Case discussion: How would you treat this patient? [16 October]
This week we have an interesting case from Dr Slavko Doslo. A 40-year-old female presented for a skin check and a lesion was noticed on her back.
What is your assessment of the clinical and dermoscopic images? What would you do – if anything?
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.
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
Pink and brown mandate excision.
I can’t see any specific patterns. Even vessels I can’t see. But as said pink and brown mandate excision to exclude malignancy.
This lesion has chaos and the clue of an eccentric structure-less area. I would excise but it initially looked benign and similar to the other lesions on her back.
do a comparative approach to check the other moles and see if there is a link between all of them. this looks like a sclerosing nevi, all sclerosing nevi should be excised for path confirmation as they feature a grey area to work on.
Sorry for my late entry due to recent HealthCert course with MCQs exam.
Dermoscopically: Chaos in term of structure (asymmetric) and colour (>2 colours)
Clues: pale-pinkish structureless (eccentric and centric), v/s patterns (polymorph + subtle dotted v/s). Unable to see other clues.
Based on the above (??Hypomelanotic MM), 2-3mm margin excisional biopsy and go from there.
Now, the report indicated MiS with clear of margin. Nevertheless it is prudent to do a wider excision (5mm margin) as per guidelines if not done yet despite the report saying clear on initial excision.
Tricky case – not really a lonely lesion clinically, and not much that is specific on dermoscopy. I suspect many of us – including me – might have missed this! Well done Slavko.
Thank you