Jump to content
In this section we have spot diagnoses posted on a daily basis since June 2010, now over 4000! You can review the archived cases and read the suggested diagnoses by users and the final comment by the contributors.
Case are uploaded each week day by 10 am UK time with the correct diagnosis will generally be posted at 8 pm UK time. Why not view the most recent spot diagnosis and proffer a diagnosis?

Case Number : Case 2189 - 30 October 2018 Posted By: Uma Sundram

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
Submitted Date :
   (0 reviews)

65 year old woman with growing lesion on chin.


  Report Record

User Feedback


Victor Delgado

Posted

It looks like kind of melanocytic lesion. Could be BAPoma.

Share this comment


Link to comment
share_externally

I see a dermal melanocytic lesion with some atypia. Could this be melanoma?

Share this comment


Link to comment
share_externally

Alex-Ventura-Leon

Posted

Dificult case (at least for me). Its a melanocitic intradermal proliferation with epiteliod features and some degree of atypia.

I think its benign. And i agree that it could be a BAPoma.

Waiting for the experts comments

Share this comment


Link to comment
share_externally

Not sure about both bapoma and melanoma. Some atypia in last fig. We don't see deepest component...It could be a deep penetrating nevus. 

Share this comment


Link to comment
share_externally

Uma Sundram

Posted

Difficult case and great comments. There is some atypia and it's always difficult with these partial biopsies in older individuals, to exclude melanoma. We had favored 'ancient change' within an inflamed nevus but recommended a re excision. The patient had had it for a long time but recently the lesion developed some erythema. BAP1 testing was normal.

Share this comment


Link to comment
share_externally



Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Guest
Add a comment...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.

Loading...

×
×
  • Create New...