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Shoulder lesions that are pigmented

17/12/2013

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Picture
81 yr old man who has had several BCC's removed in the past  has this pigmented lesion on his shoulder

Picture
Same man with the lesion shown on Dermatoscopy.
There is ulceration with chaotic pigmentation.  A clue is that there are blue clods present  and with his Hx of BCC's this is likely to be a BCC. 

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This spot was found in the middle of a 60 yr olds back 
It looks like there is a central scar which is probably from someone doing a biopsy from this lesion in the past. Has it changed - who knows.   There is a reticular pattern with thickened lines and in some places the lines are thicker than the width of the space between ( a clue to melanoma)  The lesion is asymmetric with irregular pigmentation.  It is likely that this is a Clarks nevus however it is a lonely lesion and a biopsy or close dermatoscopic  followup would be reasonable. 

Picture
Another shoulder lesion that has a waxy appearance. The clue here is the multiple different coloured clods  This is a Seborrheic Keratosis 

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    Anyone who is enthused by looking at skin lesions is welcome on this blog. My aim is that we all learn from each other.

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