Case 1) This 82 year old man with no past history of skin cancer attended to show me this lesion which he said had appeared in the last 2 months. What is your analysis, your preferred diagnosis and the percentage likelihood that this is going to be right?   I know some of you hate putting down percentages but I think it is a really interesting (and useful) exercise. Case 2) Courtesy of my colleague Sinead Dean.  A 59 yo woman who became aware of this 3 months prior when her towel caught it. Again I would be interested in your preferred diagnosis and percentage of confidence ..read more

  I never did well in Pascale’s quizzes but like many of you, I always liked them and I certainly miss her presence in the blog.  This is my humble tribute to Pascale.   I am travelling to the Gold Coast for the Congress so feel free to comment and I will answer when I can. The post Missing Pascale appeared first on Skin Cancer College Australasia ..read more

Today’s cases are from my colleagues Dr. Karen Viduya and Dr. Sam Axford Case 1. A fascinating case.  79 year old lady who states this lesion has been present since birth.  We had an initial histological diagnosis, then a revision of the diagnosis after our request for an in-house review. Case 2.  A 56 year old man who has a lesion on his left cheek.  The diagnosis might look simple, but there may be a bit more to this lesion than first impressions? Yep it is a bit tricky. Case 3 A 44 year old man with many naevi, some atypical as can be seen on his TBP image  ..read more

I found this lesion no the forearm of a 79 year old man. It was slightly raised and a bit firm. I thought it was most likely a bruise, but something smelt fishy. I did a punch biopsy. What did I find? The post Dermoscopy Monday appeared first on Skin Cancer College Australasia ..read more

The first case was the last excision I made, on december the 21st…   74 years old. Coming every 6 months, bearing a CDKN2A mutation. Only one melanoma in her past history. Her brother had a pancreas carcinoma…  A pink lesion on her neck, unseen before                                                 Case 2 50 years old. This case is a bit older, last may, but I think I did not publish it              Referred for a suspicious ..read more

Hi Everyone,   I have a surgical case today on the posterior ear. 78M presented for a routine skin check on the background of multiple previous SCCs and BCCs. This lesion was found on the back of his R post ear. It was biopsied and confirmed nodular BCC.  Biopsy Path: POSTERIOR EAR: BASAL CELL CARCINOMA, NODULAR. Histopath – punch bx – post ear ?BCC   MACROSCOPIC Post ear- The specimen consists of a cylindrical piece of skin, measuring 3mm in diameter and to a depth of 2mm. Specimen embedded whole in one block. Three levels sectioned. MICROSCOPIC Within the dermis, throughout ..read more

Case 1 Lesion in the scalp not present at birth in a 2 years old girl. What do you think it is and what would you do about it?         This man is 55 and has had 2 invasive melanomas in the past. He has numerous atypical nevi. This was one on his abdominal wall that I photographed and then when filing the photos I thought I had better excise it! Was I justified by the subsequent histology report?         Case 3 A lesion on the temple in a 75 years old male. No recent changes. Nice vessels. What is it? The post Tuesday Trio April appeared firs ..read more

yes bloggers and lurkers here is  a couple of    of pigmented lesions that  had me concerned          and  lastly  a  sobering example of  what immunosuppression  and CLL   can do to  you  in  a  UV   plentiful area   case 1    this fellow  has a melanoma  in situ removed by  me  4  years or so ago        , he is  77 now  the initial  melanoma in situ   so  that was the original  4 yea ..read more

One of those cautionary tales. I thought a good illustration of the capabilities of lentigo maligna and surgical margins. This is though in the setting of some immunosuppression. Bit of a saga sorry but this 67 yr old man, who is now a retired builder, first presented back in 2015 with a pigmented lesion on the left temple. Complicating features were his history of psoriatic arthritis on methotrexate and humira. Diagnostic excision undertaken and reported as lentigo maligna with a positive margin at 12 o’clock. Wider excision undertaken by myself, I don’t have a photo of that but in my op no ..read more

This 80yr old gent  with a history of NMSC presented with this growing painful nodule on the superior helical rim over several months.  It was extremely tender to touch making  examination of the lesion difficult.  Clinical features and dermoscopy which showed keratin structures ,ulceration ,white circles  and dot vessels  favoured  a diagnosis of SCC.  The distance of excision with 4mm clinical margins  was around  25 mm. How would you manage from here ? You can send your surgical plan to me : cd.pappas.con@gmail.com As usual I will put up m ..read more