Case discussion: How would you treat this patient? [23 October]

This week we have a great case from Dr Slavko Doslo. A 65-year-old female presented for a Skin check and a lesion was noticed as indicated.

What is your assessment of the clinical and dermoscopic images? What would you do – if anything?

Case discussion_Slavko DOslo

Case discussion_Slavko Doslo     Case discussion_Slavko Doslo

 

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

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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4 comments on “Case discussion: How would you treat this patient? [23 October]

  1. Red pink brown structureless area means cut to exclude malignant change. Segmental thick line reticular at lower pole.

  2. A brown papule with Chaos (asymmetric and >2 colors).
    Clues:
    1/ centric and eccentric pale-pinkish structureless with scattered brown dots + subtle polymorph v/s upper pole.
    2/ a few (subtle) polygon at 3′ o clock.
    3/ dense pigmentation with peripheral border streaming at 5′ o clock.

    Enough (although young age but fair skin) to proceed excisional biopsy (2-3mm margin) and go from there!

  3. Chaotic lesion, not in line with a bruise, not a lentigo. Features of 4 to 6 o clock Radial streaming with black dots and multiple colours, needs excision. Most likely SSM on the loner lesion on an elderly