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1800 867 1390Case discussion: How would you treat this patient? [23 January]
In this week’s case discussion, we revisit an interesting case from Dr Terry Harvey. Do you see anything noteworthy in this wide shot of the legs? What do you think of the circled lesion (dermoscopy provided)?
How would you biopsy, and what would you do next?
Update:
Here is the pathology report. How would you proceed now?
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1300 856 695
+44 203 514 0688
1800 867 1390
Would like more information about the Pt, ie sex, age, life time exposure to sun. etc.
Simply from the pictures it appears to be idiopathic guttate hypomelanosis. (age spots)
Would examine under Woods lamp to confirm loss of pigment
If biopsy 4mm punch for histology. (if at all necessary)
Serpentine doted vessels and central spiked white scarring could be
SCC
BCC
acanthoma
Clinical white area with pink arnes ea on one side:dermoscospy pin point vessels on brown background white lines,:excision ;amelanotic melanoma,basal cell carcinoma:most likely amelanotic melanoma
regressed lentigo, leave alone. reassure patient
More history useful. I can imagine this as a dermatofibroma co-existing with a regressed naevus.
Dermoscopy – can’t rule out malignancy but this looks more likely benign. Shave biopsy.
Dermoscopy – malignancy not ruled out but this is likely benign. Shave biopsy.
?Dermatofibroma
Excision biopsy, looks like regres zone, grey globuls, white lins…Amelan.Melanoma?
? dermatofibroma with the central scar like appearance
Is it Amelanotic melanoma…!?