Case discussion: How would you treat this patient? [2 December]

Case discussion

This week we discuss an interesting case from Dr Colin Smith of a male patient with past history of NMSC.

What is your opinion on the clinical and dermoscopy images? What does dermoscopy show, how would you biopsy?

Continue reading “Case discussion: How would you treat this patient? [2 December]”

Case discussion: How would you treat this patient? [25 November]

Case discussion

This week we discuss an engaging case from Dr Mokesh Raj of a patient aged 40, no history or clinical picture.

What is your opinion on the dermoscopy image? Are there any features or criteria of note?

Continue reading “Case discussion: How would you treat this patient? [25 November]”

Case discussion: How would you treat this patient? [18 November]

Case discussion

This week we discuss a compelling case from Dr Mokesh Raj of a man aged 60+ with sun damaged skin – a common presentation in both skin cancer clinics and general practice settings in Australia.

There is no history or clinical picture. What is your opinion on the dermoscopy image? Are there any features or criteria of note?

Continue reading “Case discussion: How would you treat this patient? [18 November]”

Case discussion: How would you treat this patient? [4 November]

Case discussion

This week we have an interesting case from Dr Colin Armstrong. An 85-year-old male presented for a skin check and suspected for melanoma. Please review the clinical and dermoscopic images below.

How would you biopsy this suspicious pigmented lesion on the chest? What is your differential diagnosis?

Continue reading “Case discussion: How would you treat this patient? [4 November]”

Case discussion: How would you treat this patient? [28 October]

Case discussion

This week we have an interesting case. What do you make of the clinical and dermoscopic images below?

Is there a differential diagnosis? If so, how would you biopsy?

Continue reading “Case discussion: How would you treat this patient? [28 October]”

Case discussion: How would you treat this patient? [21 October]

Case discussion

This week we have another engaging case. A 65-year-old Caucasian female with no history of melanoma presented for excision of a cyst on her back. A full skin check was done and a pigmented skin lesion was noted on her lower back.

How would you respond to this presentation?

Continue reading “Case discussion: How would you treat this patient? [21 October]”

Case discussion: How would you treat this patient? [14 October]

Case discussion

This week we have another engaging case. A 75-year-old Caucasian Australian male with a past history of solar keratosis and no previous melanoma or significant personal or family history of melanoma. Previously, he worked only indoors. The patient presented for opinion on a darker area of change in an existing “freckle” on his neck that was present for several years.

How would you respond to this presentation?

case discussion

case discussion

case discussion

Update:

How would you manage a patient with these findings? Please share your feedback.

SYNOPTIC REPORT FOR MALIGNANT MELANOMA
Diagnosis: Invasive malignant melanoma Site: Right mid neck Subtype: Superficial spreading Margin status: Involved Tumour Thickness (Breslow): 0.7mm Clark level: 3 Ulceration: Absent Mitotic count: 1/mm² Microsatellites: Not identified Perineural invasion: Not identified Lymphovascular invasion: Not identified Regression: – Early (TILS): Minimal (non-brisk) – Late (Fibrosis): Absent Associated benign naevus: Not identified Excision Margins: – Peripheral invasive: 1.5mm – Peripheral in-situ: Involved – Deep: Tumour focally abuts the deep margin.

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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Case discussion: How would you treat this patient? [30 September]

case discussion

This week we have an engaging case from Dr Armstrong. A pink lesion was found on a patient’s right arm during a routine skin exam. The patient was unaware of the lesion. Continue reading “Case discussion: How would you treat this patient? [30 September]”

Case discussion: How would you treat this patient? [27 May]

Case discussion

This week we have an interesting case from Dr Tracey Zeelie. We don’t have a history or clinical picture.

What is your opinion on this dermoscopy image? If you would biopsy, what technique would you use?

Continue reading “Case discussion: How would you treat this patient? [27 May]”

Case discussion: How would you treat this patient? [20 May]

Case discussion

This week we have an interesting case from Dr Renuka Ranasinghe. An elderly male presented for a skin check for benign seb k’s noticed by his wife. 

The below shown pigmented lesion was noted – what do you make of the clinical and dermoscopic pictures? How would you biopsy this lesion?

Continue reading “Case discussion: How would you treat this patient? [20 May]”