The opening ceremony of the Olympic games in Paris is today. At 7.30 pm, about 3.30 am for you, on saturday ? It will be held along the river Seine,... The post Olympic Games appeared first on Skin Cancer College Australasia ..read more

  This is a follow up  on Mohamed’s post “Two close and Too close” 88yo female with two BCCs on her nose. Similar to Mohamed’s case but slightly different locations. Please send your ideas to pgordilloo@live.com.au The post Two lesions on the nose appeared first on Skin Cancer College Australasia ..read more

Today I have two surgical cases that I ran aground with ……sometimes we don’t quite have total success. Case 3 is more straight forward and very satisfying. Case 1 This 88 yr old chap has been a frequent flyer with me for some years – all NMSC, no melanoma or worse. He has always been frail but basically holding his own. This tumour was a couple of months old, painless and worrying my patient. He presented in a 10 minute ‘spot check’ appointment. He had travelled an hour. I took a chunk with a biopsy blade having no firm view as to the likely pathology but thought something bad was likely ..read more

I have an interesting case today with serial dermoscopy and histology. I first saw this young man in November 2023. This pigmented lesion on the tip of his shoulder is what he was worried about. Family had been asking him to get it checked. I took some photos, and we did a bit of short term monitoring,     What do you think?               This is how it looked exactly three months later in February 2024.   What do you think now?                     Maybe you’ll all tell me I should have excis ..read more

Hello All Two of these three cases are seen often, one only occasionally (in my experience anyway…). Notwithstanding that, I wasn’t sure about them all – in fact my conclusions were all wrong! As we all know,  several diagnoses are often on the cards. Case 1  72 year old retired male with a slightly tender lateral cheek tumour. Clearly very suggestive of malignancy – but which one? What clues trump other clues?   Case 2  This lesion had been present for about 6 months on this 68 year old chap. No tenderness, no bleeding, no history of skin cancer. Case 3 This 72 year ..read more

  Three “spot diagnoses” for you today. Please give your favoured diagnosis, differential diagnoses, and initial management plan for each lesion.   Case 1 Incidental finding at full skin check on the lady (83F) with the extensive nodular BCC under the earlobe whom I presented last month. Case 1 macro Case 1 dermo Case 2 67M with this lesion of the L. upper forehead noted at skin check. Case 2 macro Case 2 dermo Case 3 Same patient from case 2 with another lesion on the dorsum R. hand found at the same routine skin check. Case 3 macro Case 3 dermo   The post Spot c ..read more

Hi Everyone, Time for another nasal surgical case. My last post was a proximal nasal dorsum case, this one is a distal nasal dorsum case. 79F presented for a routine skin check with a background of facial IECs treated topically. A L distal nasal dorsum lesion was found to be suspicious. Questions: What do you think it is? Would you biopsy this 1st and how? How would you close this surgical defect? Use the DRIPS method if you wish (Defect – site and size, RSTLs, Icebergs, “Peter to pay Paul” – skin reservoir, Solution). Send your mark-ups to charles.ayesa@gmail.com The post Distal Nasal ..read more

There is actually only one case you really have to think about today although I am presenting 3! Case 1 Sudden onset within 2 months of a lesion on the ear in a 5 years old boy’ Spitz nevus or a traumatised haemangioma? Which is it and why? I will add histology at lunch time.   Case 2  This was an elderly man in his late 80s with the top 2 images showing his lentigo maligna 5 years ago. I shaved it at the time and told his GP to organise for the lobe to be excised but it looked good for a while after the shave and the old man refused to have anything done. 5 years later it has gr ..read more

thats right bloggers  and lurkers    .  Case 1   some  puzzling histology ,   and  case 2 … this lady  is just about  to turn 100   case  1 ,    this  fellow is 46  , and has noticed this lesion ,  on his cheek  , and no history  of skin cancer   ,  so what do  you think it is ?       case 2       this lady  turns  100   in  2 months   she has  this lesion on her scalp  , which b ..read more

Here is a case from several  years ago ….. This 64 yr old lady has this biopsy proven lentigo maligna/ melanoma in situ. The lesion extends around the edge of the  inferior helical rim and onto the posterior surface . The border of this lentigo maligna is well defined and the  image shows the defect with margins drawn which resected the melanoma . The defect is  excised on the posterior surface as the anterior surface as the melanoma spreads equally on both sides. How would you close this defect? You can send your surgical markout to me: cd.pappas.con@gmail.com.au OPTIONS ..read more