This 80 year old farmer came to see me for removal of a sebaceous cyst on his forehead. I asked him about the spot on his nose and he told me that it has been present for ten years and that he had been reassured by several people that it was okay. I seems to have grown more over the past three years. This is a melanoma and needs to be removed urgently.
Histology: Level 4 Malignant Melanoma
Histology: Level 4 Malignant Melanoma
This is the Dermatoscopy image that shows all the classical features of a Melanoma. Chaos with blue/grey pigment clods on a background of thickened reticular lines and white lines that are seen in polarised dermatoscopy.
Another Dermoscopy picture taken through oil showing the chaos ulceration and radial lines
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