Abstract: 75 yo man with an ominous lesion on his back
HPI: The patient is a 75 year-old man who rarely sees physicians. His wife noticed a large number of lesions on his back. His son had a melanoma of an upper eye-lid. The patient has never had a skin cancer. His wife had some 5 fluorouracil cream that was over 10 years old and had applied it for a few weeks to the large lesion on his back.
O/E: His back reminds one of Van Gogh's Starry Night." Amidst the constellations of starry lesions, one lonely planet stands out. It is 2.5 cm in diameter.
Clinical Photos: (all images taken by Dr. Yoon Cohen with an iPhone 6)
Dermatoscopic Images:
The biopsy showed no evidence of malignancy. Six weeks later, we saw the patient in follow-up. The lesion looked a bit less worrisome, A large incisional biopsy was taken. Findings will be reported when pathology is ready.
Plan: Waiting for reading of second biopsy.
We welcome any comments and diagnostic thoughts.
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