Case discussion: How would you treat this patient? [18 November]
This week we discuss a compelling case from Dr Mokesh Raj of a man aged 60+ with sun damaged skin – a common presentation in both skin cancer clinics and general practice settings in Australia.
There is no history or clinical picture. What is your opinion on the dermoscopy image? Are there any features or criteria of note?
Would you biopsy this lesion from what you see here? Why? How?
SKIN LESION LEFT CHEEKGross Description.
The specimen consists of a skin ellipse 7 x 4 x 2 mm with a central brown macule 5 x 3 mm. 3 NR 3L
The epidermis shows scattered foci of atrophy and the dermis shows elastosis. Extending diffusely along basal epidermis and down follicular infundibula are melanocytes with enlarged, hyperchromatic nuclei. No dermal invasion is identified. The lesion focally involves a radial margin.
MALIGNANT MELANOMA IN SITU ON SUN DAMAGED SKIN (LENTIGO MALIGNA), FOCALLY INVOLVING A RADIAL MARGIN
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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