Case discussion: How would you treat this patient? [22 August]
In this week’s case discussion from my own practice, a 60-year-old female came in for her first presentation for a skin cancer check. Her mother had a melanoma and her father had BCCs.
On examination, the patient was found to have skin type II and fairly tanned forearms. There were multiple seborrhoeic keratoses on her face, shoulders and upper back. There were less than 25 naevi on her back and a few scattered, small lesions on her shoulders. The seborrhoeic keratoses on her nose were treated with cryotherapy.
Four months later, the patient returned for a spot check on her nose. See the two images. What would you do next? What do you think?
A shave biopsy showed melanoma in situ. What next?
– Prof David Wilkinson
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