Case discussion: How would you treat this patient? [10 February]
This week, we present a case from Dr Mokesh Raj. There is no history or clinical picture.
What is your evaluation? What would you do next? How would you biopsy, if you choose to biopsy?
Here is the result. What would you do next?
SKIN LESION MID BACK EXCISION
Skin ellipse 15 x 7 x 2 mm with a central tan to dark brown skin 10 x 3mm. Margins inked blue. Transversely sectioned. 4 NR
Sections show melanoma in situ. The melanoma cells are at the basal epidermis with focal intraepidermal spread to involve the upper epidermis. There is no invasion. The dermis shows focal lymphocytic infiltration. There is no regression. The lesion involves one radial margin.
SKIN LESION MID BACK EXCISION MELANOMA IN SITU AT ONE MARGIN
We encourage you to participate in the case discussions and submit your own clinical images and questions, so we can all learn together.