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In this section we have spot diagnoses posted on a daily basis since June 2010, now over 1700! You can review the archived cases and read the suggested diagnoses by users and the final comment by Dr Uma Sundram, the Editor-in-Chief and main spot diagnosis host. Case are uploaded each week day by 10 a.m. UK time with the correct diagnosis will generally be posted at 8 p.m. UK time. Why not view the most recent spot diagnosis and proffer a diagnosis?

Case Number : Case 1932 - 25 Oct - Dr Uma Sundram Posted By: Guest

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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97 year old man with left posterior auricular lesion. What are your treatment recommendations?


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vincenzo polizzi

Posted

First thought Melanoma.  Based on age I would recommend conservative excision. 

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Desmoplastic melanoma with an epidermal component. If no metastases, local excision.

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Dr. Richard Carr

Posted

Please be aware I've posted a further update on last Friday's scarring alopecia case.

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Dr. Mona Abdel-Halim

Posted

I am not expert in this area but in this age, may be a conservative excision is enough?? Waiting to be enlightened. 

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Uma Sundram

Posted

Spindle cell/desmoplastic melanoma. There is no 'right' answer for the management question - but given the patient's age a conservative excision may make the most sense.

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