HealthCert Blog

How would you manage this lesion on the scalp?

Written by HealthCert Education | Jun 19, 2024 4:00:00 AM

In this week's case discussion, submitted by Dr Bruce Poole, we look at a 54-year-old plumber with type 1 skin and a past history of melanoma 20 years ago.

The patient presents for a routine skin check four years after his last review (as he failed to respond to recall) and is unaware of this grey-brown, 6x4mm lesion on the scalp vertex.

What do you think of the dermoscopy? What is your action plan?

 

Update

A deep saucerising shave with visual 2mm radial margin was undertaken on the day. The histopathology showed melanoma in situ with follicular involvement.

Patient to have wider clearance with 5mm margin.

Interested in skin cancer medicine?

 


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