Case Number : Case 245 Posted By: Guest

Phillip McKee - Overseas consultations (Cave Creek, Arizona, USA) Wrote:

Well done everyone. This is indeed a nevoid melanoma. Notice that the features are quite subtle and could easily have missed at scanning magnification. It is always important that you look at seemingly benign nevi carefully otherwise sooner or later you will miss a nevoid melanoma. This picture comes from the first case that I diagnosed. The first that I know (in retrospect) that I encountered, I misdiagnosed as a compound nevus!! I was shown the recurrence and then reviewed the original slide. A lesson never to be forgotten.

Submitted on 18/05/2011 13:06
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Francisco Vilchez - Department of Dermatology. Virgen de la Victoria Clinical Universitary Hospital. (Málaga (Spain)) Wrote:

My first impression when I saw this picture was melanoma, so agree with everyone.

Submitted on 18/05/2011 11:58
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Marwa Fawzi - Dermatology Department, Faculty of Medicine, Cairo University (Egypt) Wrote:

Agree with melanoma

Submitted on 18/05/2011 10:06
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Graham Reilly - Princess Elizabeth Hospital (Guernsey) Wrote:

I would favour naevoid melanoma as well.Mild pleomorphism a few mitoses and nested appearance

Submitted on 18/05/2011 10:06
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Mona Abdel Halim - Dermatology Department, Faculty of medicine, Cairo University (Egypt) Wrote:

Melanocytic tumor, nested aggregates, mild pleomorphism, mitotic figures, thought of nevoid melanoma..

Submitted on 18/05/2011 00:41
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Gonzalo De Toro - Hospital Puerto Montt (Chile) Wrote:

Im not sure, maybe a melanoma. There are 3 mitosis and i see some brown pigment to the left corner.

Submitted on 17/05/2011 22:39
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