Case discussion: How would you treat this patient? [13 August]

This week we have an interesting case from Dr Slavko Doslo. From the shown clinical and dermoscopy images, please evaluate, indicate your likely diagnosis, and method of biopsy.

Case discussion     Case discussion

Case discussion



These are the results from the pathology report. 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? [13 August]

  1. This is a mildly dysplastic nevi, no convincing changes to warrant excision other than central regression. needs a comparative approach to challenge other nevi on the back to reason out if excision is needed or not. I would leave it alone

  2. mildly asymmetrical and probably an eccentric structureless area. I might shave biopsy this lesion. If not, i might monitor it 3 monthly.

  3. Background of other Seb keratosis. i note milial cysts, asymmetry and ?regression.
    I bet that pinkish central part would feel hyperkeratotic .
    Are the 2 images polarised and no polarised dermoscopy ? Has it shown something I am missing .
    It is odd and I would excise with 2mm margin to confirm.

  4. Compound naevus. Nil extension required. Leave alone encourage yearly skin checks with self monitoring advice for red flags

  5. This lesion is almost certainly melanocytic ,shows chaos of color and structure,and melanoma specific clues of central white structure less area with lots of grey ( regression), and irregular network with thickened reticular lines.I would not be happy with this histopathology report, and would ring the pathologist and ask for deeper cuts, immunohistochemical studies, and second opinion from a dermatopathologist.