1300 856 695
+44 203 514 0688
1800 867 1390Case discussion: How would you treat this patient? [23 August]
This week’s case discussion, submitted by Dr Andy Carr, features a 48-year-old female patient who presents for a skin check. She has not had a skin check for a couple of years. On the posterior of her right thigh, there is a 3mm x 3mm pigmented lesion. It is one of only a few pigmented lesions on her body. She has not noticed it.
- 48-year-old female patient
- Pigmented lesion noted
How do you evaluate this, and would you do anything next? If so, what?
Update
Here is the pathology result. How do you react to this, and what next?
We encourage you to participate in the case discussions and submit your own clinical images and questions, so we can all learn together.
Learn more about skin cancer medicine in primary care at the next Skin Cancer Certificate Courses:
1300 856 695
+44 203 514 0688
1800 867 1390
Dermoscopy doesn’t look too concerning to me but given it stands out biopsy seems reasonable. I usually shave flat lesions like this but given its small size a 4mm punch biopsy would remove the whole thing too.
Ugly Duckling
asymmetrical
grey circles
would recommend excision biopsy with 2mm margin
Will consider excisional biopsy
I will refer to a melanoma specialist for wider excision and initial follow up