Thursday, December 29, 2016

Pretty, Ugly Thing

This 64 yo light-complected carpenter noticed a few rough spots on his chest. Since he vacations in Mexico two to three times a years, he is worried re: skin cancer.

A skin exam showed a 4 mm nodular BCC on his chest and a few hypertrophic AKs on the chest.  An incidental finding (that he was unaware of) was a 6 mm in diameter irregularly pigmented papule on the right upper back.  The dermatoscopic image is ugly and worrisome.
He is scheduled for an excisional biopsy.

This case is very similar to that presented on VGRD last week.  Therefore, this patient probably has a SSM that is < 1 mm thick.  We will see.

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