Todays interesting cases

This lesion is a BCC on the eyelid which required a wedge excision.  Note the fine branched blood vessels that are typical of a BCC    Histology - Superficial BCC completely excised - Phew!!

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This lesion is on the scalp and has developed since I examined his skin 6/12 ago.  The pattern is curved lines. The colour is brown changing to grey and the grey area is starting to become structureless.  The clinical context gives the clue here because this lesion is developing in a scar.  The maturing scar tissue is probably the cause of the appearance of this lesion which is likely to be a Solar Lentigo.  I have done a punch biopsy sample and will let you know the results later.   Histology - Solar Lentigo in a scar

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This is a new lesion on the lip  that has been growing over the past three months.  The pattern is brown clods.  The clinical is very helpful with this case because the areas with the brown colour are raised with a cystic appearance that is typical of a BCC  Histology - nodular BCC

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Last interesting case for today
This is on the shoulder of an elderly gentleman.  The pattern is reticular with thickened lines. The right side of the lesion is losing its reticular pattern and we are seeing grey polygons developing with one area of grey structureless melanin.  Initially you could be tempted to call this an ink spot lentigo and it may well have been that initially.  This lesion was removed completely after discussing the options of a punch sample or a shave biopsy.   Will let you know what it turns out to be   Histology - Solar Lentigo

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