Perspectives on dermoscopy

To BCC or not to BCC?

Alex J Chamberlain

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Abstract

The use of dermoscopy is described in two case presentations to differentiate melanocytic from other common skin lesions.

Article Extract

Case presentations
Case 1

An elderly man with a history of solar keratoses and nonmelanoma skin cancer presented for a skin check. He had no specific skin concerns.

A dusky pink lesion was noted on the patient’s lateral right elbow (Figure 1a). On close inspection, the plaque was violaceous and ill defined, measuring approximately 9 x 7 mm. Although the patient and his wife were normally fairly observant of skin changes they were mostly unaware of the existence of the lesion, which suggested recent onset. It was asymptomatic.

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