Three lesions today, hence the title. And in the 1st case there is a trio of lesions.   Case 1.  54 years old. One of these 3 lumbar lesions was a melanoma, Breslow 0.46 (and regression 0.81) Red circle picture B. The yellow circled lesion remained unchanged, until recently. (macro pictures B and D, and dermoscopy) (you may havec noticed there is a 4th one, naturally, the 3 musketeers where 4         ..read more

This 64 yr old lady presents with this pigmented lesion from her GP. She has seen him and had noticed it was getting  larger over several months. 3 Questions What is the diagnosis? What are your thoughts on biopsy to confirm your diagnosis? What would your plan  be for excision of the lesion? Below is a markout of the defect which cures the lesion for you to base your surgical plan. You can send your surgical markout to me : cd.pappas@bigpond.com OPTIONS Transposition flap . I would consider this coming from  a posterior direction rather from the central face . Generally spe ..read more

This 69 yr old farmer presented with an ulcerated papule on the left ala. A punch biopsy was performed and reported nodular bcc invading to mid dermis.  Staged excision undertaken with wider excision reporting no residual. Would would be your favoured approach to defect repair.  Markouts can be sent to lloyd.w.peterson@gmail.com HISTOLOGY REPORT CLINICAL INFORMATION: Stage 1 disc excision L ala. Orientation suture at 12 o’clock. Prior punch nbcc with clinical residual. PROCEDURE: Skin excision, left ala. MACROSCOPIC: The specimen consists of a disc of skin measuring 1.2 x 1.3 ..read more

Two lesions on the forearm with superficially similar pathology.   60 year old woman, lesion found on routine skin check Here’s the pathology 2.  82 year old woman with previous MIS, found on routine skin check. Sorry there’s a lot of dermoscopy, I don’t find wider angle dermoscopy photos as useful.  I took an incisional biopsy.  Even this closure had sutures tearing out.  Here’s the pathology. Similar to case 1. but different.  3.  Somehow the 42 year old woman with this lesion was given the next available appointment 4 months later!  I d ..read more

One case today, with histology. This lesion was on the ear of a young woman in her late 20s. It was spotted by another GP in the clinic, just by the by, when she consulting for something completely different. The patient was very sure that there was a ‘big freckle’ on the ear for most of her life, but both the GP and myself thought it needed histology. Take a look at the dermoscopy and make some comments. Then take a look at the histology slides by clicking on the link, and make some more comments. We’ll wrap it up later on Monday night.       Click here to see the full slide ..read more

Hi bloggers. Here are three tumours and three diagnoses. Each case had a slightly challenging social context.  Case 1 This 75 year old lady with moderate dementia was brought in by her carer/husband. He was distressed that what had seemed a small scab had grown rapidly and hopefully was not something appalling. The lesion was painless and had not bled. Apologies there is only a polarised dermoscopic shot.     Case 2 My patient from a very small remote town developed this tender lesion over about a month. She has a history of BCC and SCC.       Case 3 This 47 ye ..read more

Hi all, It’s Mohamed Elsaid, an SCCA Fellow and a first time confused poster, so please be patient with me Firstly, I have to pay my respect and appreciation to all of you who have been posting and sharing in this blog creating a tremendously helpful resource and providing a healthy space to share mutual knowledges and experiences. I am presenting 3 surgical cases (2 of them are pretty similar) and would like to see what would others have done about them. Case 1: A man in his 60s with an SCC of the distal phallanx of the 3rd toe invloving the nail/ nail bed.   Case 2: Again a man in h ..read more

Hello again bloggers, today we have 3 somewhat unusual calf lesions to assess. Above we have a normal Highland calf, unfortunately my cases are not that cute. For the experienced dermatoscopists among you, I think these cases will not pose any serious problems. We also have a nasal side wall defect which warrants repair.  Thank you for your thoughts.  Case 1. 73 year old male presents with this lesion, type 3 skin, PMH of NMSC. Case 2. 78 year old male, L calf injury 2 months ago, he says it’s slowly improving with tea tree oil. type 2 skin & PMH of MNSC. Case 3. 36 year ..read more

I thought this was quite successful last time so here goes again – thanks again to Dr Luke Bookallil As usual clinical, dermoscopic and histology images. Videos to follow at lunchtime.   Case 1 78yom scalp         Case 2: 65yof ankle         sox10   The post A couple of clinico-dermoscopathology cases appeared first on Skin Cancer College Australasia ..read more

Hi Bloggers, I am a fellow registrar sitting for the Fellowship exam this year, this is my first blog and I would like to make it simple for your long weekend Labour Day! First and foremost, I would like to use this opportunity to thank my mentors Dr Mostafa Ziabari and Dr Bryan Sun for their selfless dedication to enlightening me in surgical skills and for the ongoing sharing of their experiences with me! I would like to post 3 cases with dermoscopic views. Only one is not SCC, make your best guess! Case 1. A patient with past known multiple keratinocyte cancers came for a skin check, I noti ..read more