Case discussion: How would you treat this patient? [21 December]

Our case discussion this week features another case from Dr Terry Harvey.

  • Barely visible lesion (as marked)
  • Lesion on left posterior leg

What do you make of the clinical and dermoscopic images presented? Benign or suspicious? What is your differential diagnosis? If suspicious, how would you biopsy?


Here are the results. Thoughts? What next? What are the treatment options?

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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11 comments on “Case discussion: How would you treat this patient? [21 December]

  1. Lesion with serpentine blood vessels
    Shave /punch biopsy to confirm basal cell carcinoma
    If confirmed,complete excision of the lesion

  2. superficial BCC with arborisation, use cryo to freeze at 2 weekly cycles. no need for biopsy as the diagnosis is clear

  3. Increased vascularity noted, pale, non pigmented, translucent, suspect BCC.
    Biopsy suggested.
    Any of following methods to obtain tissue sample may be acceptable; in order of increasing accuracy.
    Vigorous curretage; small punch; large punch; excision.
    If physician is 100% confident in a diagnosis of a small BCC, destructive methods may be acceptable such as heavy cryo or electrocautery.