Case discussion: How would you treat this patient? [3 May]

We feature another great case discussion from Dr Terry Harvey this week, regarding a 50-year-old male patient who came in for a routine skin check with no lesions of concern.

  • 50-year-old male
  • Routine skin check

What is your assessment of the clinical and dermoscopy images? What would you do?

case discussion


Here are the results. How would you treat?

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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12 comments on “Case discussion: How would you treat this patient? [3 May]

  1. An asymmetric pigmented lesion, multiple colours, in dermoscopy atypical pigment networks, globules and peppering. Provisional dx: SSM, atypical nevus
    Mx: excisional biopsy with 2mm margin and following up with the pathology report

  2. Basal cell cancer. Asymmetrical pigmented non melanocytic skin lesion with leaf like pattern and brown nodules and globules.

  3. Chaos present; no visible grey but possible eccentric hypopigmented areas, dark clods, a variety of blood vessels
    ? Melanoma Ddx. BCC
    Excise with 2 mm borders

  4. I would excise. It appears to be an ugly duckling. Dermoscopy features are brown clods, structureless areas. polymorphic vessels. ? melanoma

  5. Various clods size with some blood vessels. It could and looks to me merely atypical Nevus but I would just excise to rule out sinister things.


  7. Asymmetric globules,peppering and hairpin vessels at the 4 o clock position.
    Suspicious.I would excise with a 2 mm margin

  8. asymmetry shape and pigmentation
    arborizing vessels
    negative network
    ? BCC
    excision bx with 2mm margin

  9. If you know your dermoscopy, this lesion just “looks like a BCC” – especially the “background of the tumour”. The vessels are quite atypical. I would have done a punch biopsy here – 3 or 4mm. and gone from there.