Histology: Nodular Basal Cell Carcinoma
|Skin Cancer Doctors Ltd - Whangarei||
67 yr old male with annoying lesion on the back of his ear. This has a rolled edge and serpentine / arborising blood vessels. This is the typical appearance of a Basal Cell Carcinoma and will be removed and grafted.
55yr old male with an annoying spot on his ear that has been present for a few years. There was very little thickening around the edges however the central area was shiny and depressed. This was removed and a graft from the neck was placed in the defect.
Histology: Nodular Basal Cell Carcinoma
68 yr old lady with this mole on her iris that she has had all her life. This is the first time I have seen it. There is a reasonably consistent pattern of brown pigment close to the pupil and extending out to the periphery. The area of concern for me is around 9 o'clock. I will take another picture in 3/12 time to see if there has been any change. It is important that these lesions are followed as there is the possibility of a Melanoma forming within the nevus.
76 yr old lady with this lesion on her knee. Grey clods with white lines can be a concern as they can indicate a Melanoma. The history is so important here. This lady remembers falling onto gravel and injuring her knee and this appearance has been there ever since that episode. So the grey dots are gravel mixed with the white lines that are just scar tissue
This patient came for a second opinion as her GP was concerned about the lesion and wanted to remove it urgently. You will see serpentine blood vessels and the lesion has been growing over recent months. Dermatoscopy can make the decision difficult if you place a lot of emphasis on the blood vessels when in reality they are only a minor clue.
This is a young person who has not had a lot of sun exposure and the lesion has been present for a long time but have grown recently.
Examination shows terminal hairs growing from within the lesion and the lesion is smooth with no ulceration. It is reasonable to review these after three months to see whether there has been any change. It appears to be a Congenital Nevus.
50 yr old lady with incidental finding on the right face. Clinically this lesion had a raised edge that was shiny. Look closely at the centre of the picture and you will see the arboising /serpentine blood vessels that are typical of a BCC
63 yr old male with new lesion on right side of nose for three weeks. The ulceration is really all you see here however the blood vessels on the surrounding skin are typical of long standing significant sun damage. This lesion is likely to be a BCC and is best removed.
40 yr old male with fine scaly rough skin on the nose. The area at 5 o'clock shows where some cryotherapy has been performed in the past. The surrounding skin has developed the same type of changes that occurred previously and what you see is the first signs of sun damaged skin that eventually could become a skin cancer. This can be treated with either more cryotherapy or aldara cream
This elderly lady has a raised lesion on the right side of her nose. This has the typical appearance of a BCC and I would treat this by removal and grafting new skin in its place
This is the lesion on the upper arm of a 70 yr old lady. The central area is from previous cryocautery. The surrounding area contains multiple ulcerations and dot blood vessels typical of IEC, This lesion was very thin so was amenable to cryotherapy with a review in 3/12.
Same lady with lesion on lower leg. Also IEC
Same lady with another lesion on lower leg. Also IEC. This lesion has had cryotherapy to it in the past hence the white lines indicating fibrosis related to scarring. These white lines could also be part of the IEC. This lesion was a little thicker than the others however I elected to use cryotherapy and review in 3/12. If the lesion is still present then it will need to be excised.
Anyone who is enthused by looking at skin lesions is welcome on this blog. My aim is that we all learn from each other.