Case discussion: How would you treat this patient? [25 November]
This week we discuss an engaging case from Dr Mokesh Raj of a patient aged 40, 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?
These are the results from the pathology report. What would you do next?
SKIN LESION LEFT NECK
Skin ellipse 15 x 8 x 4 mm with an eccentric brown plaque, 8 x 5 mm. The
entire specimen has been processed. Margins inked blue. Transversely
A3 B2 NR 3L each
Sections show a nodulocystic basal cell carcinoma that has extended to the
mid dermis. There is mild fibrosis and mild chronic inflammatory
infiltrate around the tumour with mild solar degeneration of collagen in
the adjacent dermis. The lines of excision are clear of the tumour.
NODULOCYSTIC BASAL CELL CARCINOMA, COMPLETELY EXCISED.
We encourage you to participate in the case discussions and submit your own clinical images and questions, so we can all learn together.