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Post by Mike Inskip on Jan 21, 2016 0:08:15 GMT -5
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Post by Mike Inskip on Jan 21, 2016 0:10:40 GMT -5
New patient today. 70 year old man - ex traffic police officer. This lesion has been growing over last 18 months. I am going to excise it later today. What will the histology report say ?
Sorry I tried to post this in the dermoscopy section but I just got the server error message again.
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Post by Roman Bronfenbrener on Jan 21, 2016 22:42:25 GMT -5
Interseting case, dermoscopy here is pure mental masturbation as this has clear cut malignancy written all over it. Looks to be an MM with negative network and ulceration and peripheral irregular globules. I wouldn;t be terribly surprised if it was a bCC too, but my money (and I don;t have a lot) is on MM
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Post by Mike Inskip on Jan 23, 2016 20:38:39 GMT -5
My bet is hypomelanotic melanoma.
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Post by Mike Inskip on Jan 26, 2016 17:58:55 GMT -5
Histology just back - superficial spreading melanoma, Clark level 4, Breslow thickness 1.25mm, mitotic index 1/sq mm.
Marked chaos plus clues to melanoma - multiple colours, inverse pigment network, multiple brown dots / clods and dot/ irregular linear vessels
There appears to be some ulceration in the south east but this is not mentioned in the synoptic report.
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