Case discussion: How would you treat this patient? [20 November]

Case discussion_Slavko Doslo

This week, we have another wonderful case from Dr Slavko Doslo. A 65-year-old female presented for a skin check and a lesion was noticed as indicated.

What is your assessment of the clinical and dermoscopic images? What would you do – if anything?

Continue reading “Case discussion: How would you treat this patient? [20 November]”

Management Guidelines for Dermoscopy of Spitz Nevi

Spitz nevi

We know that dermoscopy provides us with more information than is possible with the naked eye. The trick is to understand what the additional information means, and what we should do with it! This is where research on dermoscopy and management guidelines is so important. In this case, we are particularly looking at the management of Spitz nevi. Continue reading “Management Guidelines for Dermoscopy of Spitz Nevi”

Case discussion: How would you treat this patient? [13 November]

case submission_Sanazsadat

This week we have an interesting case from Dr Sanazsadat Hejazi. A 77-year-old female presented for a skin check and a lesion was noticed as indicated on left forearm. Here is a clinical picture of a rapidly growing (3 weeks) lesion in an elderly lady.

What is the important differential diagnosis list here? How would you biopsy this?

Continue reading “Case discussion: How would you treat this patient? [13 November]”

Case discussion: How would you treat this patient? [06 November]

Case discussion_Slavko doslo

This week, we have another interesting case from Dr Slavko Doslo. A 59-year-old male presented for a Skin check and a lesion was noticed. Unfortunately, we do not have the clinical images. 

The challenge this week is to describe the dermoscopic picture as we all know what the diagnosis will be. Continue reading “Case discussion: How would you treat this patient? [06 November]”

Managing Merkel Cell Carcinoma

Merkel cell carcinoma

Merkel cell carcinoma (MCC) is a rare, aggressive, and often fatal neuroendocrine skin cancer – the incidence of which has increased in recent decades. Early and recurrent MCC is managed very differently than other skin cancers.

People at higher risk of developing Merkel cell carcinoma are typically those who have had multiple prior skin cancers and those who are immune suppressed, such as organ transplant recipients. Continue reading “Managing Merkel Cell Carcinoma”

Case discussion: How would you treat this patient? [30 October]

Case discussion_Slavko Doslo

This week, we have another wonderful case from Dr Slavko Doslo. A 77-year-old male presented for a skin check and a lesion was noticed as indicated.

What is your assessment of the clinical and dermoscopic images? What would you do – if anything? Continue reading “Case discussion: How would you treat this patient? [30 October]”

Case discussion: How would you treat this patient? [23 October]

Case discussion_Slavko DOslo

This week we have a great case from Dr Slavko Doslo. A 65-year-old female presented for a Skin check and a lesion was noticed as indicated.

What is your assessment of the clinical and dermoscopic images? What would you do – if anything?

Continue reading “Case discussion: How would you treat this patient? [23 October]”

Recommended Minimum Surgical Margin to Remove Skin Cancer

Merkel cell carcinoma

A surgical margin of at least two millimetres around a cancerous skin lesion is the minimum requirement to ensure total removal of cancer cells and to avoid the need for further surgeries, according to a study by researchers at Perlmutter Cancer Center at NYU Langone Health.

The results of a study enlisting 138 skin cancer patients was published in the Journal of the American Academy of Dermatology, and found that excising a two millimetre margin beyond the edges of a suspicious mole was best practice for complete removal.

Continue reading “Recommended Minimum Surgical Margin to Remove Skin Cancer”

Case discussion: How would you treat this patient? [16 October]

Case discussion Slavko

This week we have an interesting case from Dr Slavko Doslo. A 40-year-old female presented for a skin check and a lesion was noticed on her back.

What is your assessment of the clinical and dermoscopic images? What would you do – if anything? Continue reading “Case discussion: How would you treat this patient? [16 October]”

Accuracy of Pathology Diagnosis of Melanoma

Merkel cell carcinoma

Our paper this month comes from Elmore et al, published in the BMJ. The authors set out to determine the accuracy and reproducibility of pathology diagnosis of melanocytic skin lesions. The study was done across the USA and included 240 skin biopsies, and almost 200 pathologists viewed the slides twice, eight months apart.

Continue reading “Accuracy of Pathology Diagnosis of Melanoma”