Case discussion: How would you treat this patient? [23 April]
This week we have another interesting case. This lesion was on the arm and the patient was unaware of it.
What is your assessment of the clinical and dermoscopic images, and what would you do next?
Here is the pathology report. What would you do next and why?
– LENTIGO MALIGNA MELANOMA
– CLARK LEVEL II, BRESLOW THICKNESS 0.22MM
There is malignant melanoma, best categorised as lentigo maligna melanoma in type. There is an irregular junctional proliferation of single cells and variably sized nests. Cytological atypia is mild-moderate. There is focal mild upward drift. There is focal dermal involvement, Clark level II, Breslow thickness 0.22mm. No dermal mitotic figures are identified. Tumour infiltrating lymphocytes are non-brisk. There is no significant regression fibrosis.
We encourage you to participate in the case discussions and submit your own clinical images and questions, so we can all learn together.