TheFastDoctor

Family Medicine

66 y/o female with a long history of sunlight exposure developed a few "pimples" on the neck and presternally. GP electro-cauterized the lesions then they recurred, apparently more aggressively. Dermatologist excised the presternal lesion for histology. Not malignant. (3rd picture is post healing) Now lesion in the neck looks like basal cell carcinoma. Agreed? Would you cauterize, freeze with liquid nitrogen, or excise? If the latter, superficial or full thickness, or with histology in theatre?

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A skin lesion detected during routine skin check on the shoulder of a middle-aged woman. It has a lot of features to suggest #basal cell carcinoma #BCC. She admitted that it was treated by a GP using cryotherapy a year ago and it grew back again. I took a shave biopsy that proved histological diagnosis (did not mention of subtype) and she is booked to have excision in coming weeks. #dermoscope

Ingrowing toe nail. Planning to excise and a histopathology exam.

excised

Male, 72 years old. He complains of a neck wound that has not healed for 7 months. Irregular lesion, with pearly edges, with telangiectasias in the cervical region. History of chronic sun exposure. Diagnosis?

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