Case discussion: How would you treat this patient? [11 March]

This week we have an interesting case. Here is an adult with a slowly growing pigmented lesion on the nose.

What do you make of the dermoscopic image below? How would you biopsy?

Case discussion

Update:

These are the results from the pathology report. What do you think now? How would you treat further?

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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7 comments on “Case discussion: How would you treat this patient? [11 March]

  1. Circle within a circle with dermoscopic grey on a face or neck warrants shave biopsy. Lentigo maligna melanoma

  2. Structureless brown and a pattern of circles. Also some grey color.
    Clues are de color grey and incomplete cirkels.
    Possibly lentigo maligna

  3. A simple case – the dermoscopy experts would likely confidently say this is a solar lentigo, and I would too. However, like everyone else I would do a shave. Easy to do, diagnosis defined, and likely treatment done!