Case discussion: How would you treat this patient? [10 May]

This week’s case discussion from Dr Thuy Au features a 71-year-old male with a lesion on his arm noted during a skin check.

  • 71-year-old male
  • Lesion on arm

Only the dermoscopy image is available. What is your assessment and what would you do next?

case discussion

Update

Here is the pathology report. What next?

pathology

We encourage you to participate in the case discussions and submit your own clinical images and questions, so we can all learn together.

MORE CASE DISCUSSIONS


Learn more about skin cancer medicine in primary care at the next Skin Cancer Certificate Courses:

Skin Cancer Certificate Courses in Australia

Leave a Reply

Your email address will not be published. Required fields are marked *

19 comments on “Case discussion: How would you treat this patient? [10 May]

  1. asymmetry colour and shape
    blue gray veil
    negative network
    ? melanoma
    P:
    excision biopsy with 2mm clearance

  2. Asymmetric multi-coloured pigmented lesion with pigment networks, globules, streaks crystal structures and scar like formation on sun damaged skin suspicious of Malignant Melanoma. A complete shave biopsy is recommended with 2mm margin and further follow up according to the pathology report.

  3. Irreg outline, irreg networks and white patches. Excision biopsy with at least 5 mm margin .?MM

  4. Chaos, asymmetry, blue grey, structureless areas/ regression, clods,
    ? Melanoma
    Excision with 2 mm margin

  5. Asymmetrical lesion with blue grey peripheral clods,eccentric structureless area
    Plan : 2 mm excision biopsy

  6. 3 point check
    +ve for asymmetry
    +ve for white and blue colors
    +ve abnormal network

    DD : most probably melanoma

    2 mm excision biopsy

  7. Looks like a melanoma
    irregular boarder
    colorless areas
    pink dark brown and black
    pods seen
    this is a melanoma

  8. Asymmetry in pattern and colour, white veil, areas of regression
    B/G sundamaged skin
    Suspected melanoma
    For excisional biopsy with 2mm margins

  9. ABC Score > 2

    Asymmetry of Shape and Color

    Grey Veil Noted

    Excision Biopsy/ 3 mm punch Biopsy

  10. PSL with irregular globules / clods. White grey structureless area and dark blotch. It’s worrying. Excise to exclude MM

  11. Most have picked it which is good –irregularity/pigmentation /reticulation /small rhomboids and grey
    Melanoma
    Excision 5mm margin

  12. Irregular margin , various colour , blue veil. Will do excision biopsy keeping 2 mm margin, further management based on histopathology.

  13. ASYMMETRY IN COLOR AND SHAP
    BLU GRAY GLOBULES
    WHIT SCARE AREAS
    SHINY WHIT STRANDS
    FINGER PRINT APPEARNCE
    ?? BCC VERSUS MELANOMA

  14. lesion is highly suspicious.
    Atypical pigmentation.
    Atypical network.
    White structureless areas.
    3 colors
    Atypical network.
    Excise with 2 mm margin

  15. A great picture of what is likely a melanoma undergoing regression. Multiple colours, lots of grey. A nice deep shave or a formal 2mm excision biopsy is the way to go.