How would you treat this lesion on the loin?

82-year-old male with a history of multiple NMSCs presented in 2021 with a lesion on his loin. The biopsy result was reassuring, but what do you think?

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HealthCert Education

1 minute read July 5, 2023

In this week's case discussion from Dr David Stewart, we look at an 82-year-old male patient with a history of multiple non-melanoma skin cancers. He presented in 2021 with a suspicious lesion on his left loin.

Dr Stewart performed a shave biopsy at the time and the pathology was reassuring so he did not excise the lesion. However, what is your opinion of it?

Please leave your comment today and then check back tomorrow (Tuesday), as we will have an early update to show how the lesion appeared when the patient returned in 2023.

clinic2021(1) derm2021(2)

path2021

Update #1:

The patient returned for his routine skin check in 2023. Dr Stewart took another biopsy.

What do you think of the lesion now? What would you do next?

clinic2023(1) derm2023(2)

The scar on the patient's back is from a lobectomy for lung cancer.

Update #2 (final):

Here is the final pathology result from the biopsy in 2023:

path2023

Learn more about the diagnosis of skin lesions with the HealthCert Professional Diploma program in Dermoscopy - online skin lesion training tailored for GPs, delivered with the International Dermoscopy Society.

View last week's skin cancer case discussion.

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