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Case discussion: How would you treat this patient? [11 March]
Posted on by Abbie Shortt
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?
Update:
These are the results from the pathology report. What do you think now? How would you treat further?
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7 comments on “Case discussion: How would you treat this patient? [11 March]”
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Circle within a circle with dermoscopic grey on a face or neck warrants shave biopsy. Lentigo maligna melanoma
Circles are a clue and this needs at least a shave excision to look for melanoma
Grey circles. LM
Structureless brown and a pattern of circles. Also some grey color.
Clues are de color grey and incomplete cirkels.
Possibly lentigo maligna
needed macroscopic image as well which may have helped. tricky one !
Nothing to do further.
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!