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Saturday, 28 November 2015

Black lesion.


A 25-year-old woman consulted for a dark pigmented lesion on her abdomen


Dermoscopy revealed:

  • asymmetry of form
  • a central blotch
  • regular pseudopods
Pathology was in favor of melanocytic Spitz nevus

Cheek lesion.




A 55-year-old man consulted for a pigmented lesion on his left cheek

Dermoscopy revealed:

  • an irregular broadened network
  • rhomboidal structures
Pathology was in favor of a lentigo maligna melanoma in situ.

A small pigmented lesion on a leg





A 29-year-old woman consulted for  a small pigmented lesion on her right leg.


Dermoscopy revealed

  • spoke wheel areas
Pathology revealed a superficial basal cell carcinoma 


Regression.


A 21-year-man consulted for this lesion on his arm


Dermoscopy revealed:

  • a whitish - pinkish structureless area
  • with gray dots
in favor of a regressive lesion.

Pathology was in favor of a fully regressive melanocytic lesion. A fully regressive melanoma cannot be ruled out. 

Pigmented lesion on neck.


A 57 year-old-woman consulted for a pigmented lesion on her neck.


Dermoscopy revealed:
  • no melanocytic structures
  • a structureless pattern
  • irregular blue gray dots/globules 



Pathology was in favor of a Bowen's disease.

Friday, 27 November 2015

Another back lesion.


A 34-year-old man consulted for a changing pigmented lesion on his back.


Dermoscopy revealed:

  • asymmetry
  • an atypical reticular pattern
  • a regression area
Pathology revealed a melanoma in situ.


Back lesion



A 65-year-old man with many pigmented lesions on his back. One of this lesion was atypical.


Dermoscopy revealed:
  • multiple colors
  • an atypical reticular network
  • regression
  • a reticular depigmentation  (rectangle)


Pathology revealed a melanoma in situ.

Nodular lesion


A 57-year-old woman consulted for this nodular lesion on her right chest.


Dermoscopy revealed:

  • a non pigmented lesion
  • remnant of pigmentation (red circles)
  • a pink veil
  • atypical and polymorphous vessels

Pathology revealed a nodular melanoma (Breslow index 1.6mm)

Thoracic pigmented lesion


Man 52 years old; Acquired pigmented lesion on chest.



Dermoscopy revealed:

  • multiple colors
  • asymmetry of form and structures
  • an atypical network
  • a blue white veil
  • irregular dots and globules
Pathology revealed a melanoma in situ.