1) 69 yo man with 1.5 month history of lesion right pinna. The lesion is slowly growing. The patient's son, a family doctor, asked him to make an appointment. This is a subtle lesion that could be a lentigo or a lentigo maligna. Two representative areas were biopsied.
2) A 55 year-old priest whose parishioner noted a lesion on his left arm and asked him to see a doctor about it. He's been aware of this lesion for 3 months. It appears that the darkly pigmented papule began in a lentigo. I favor a diagnosis of melanoma here but this could be a seborrheic keratosis. An excisional biopsy of raised and macular portions was performed and based on pathology I will recommend further therapy.
Regarding the first patient, I think the diagnosis is in favour of solar keratosis while the second patient,lentigo maligna is more probable than seb keratosis
ReplyDeletekhalifa sharquie