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Image Number #2733 (Melanoma invasive)

Site: Face

Diagnosis: Melanoma invasive

Sex: M

Age: 85

Type: Dermlite Non Polarised

Submitted By: Cliff Rosendahl

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Description: Dermoscopy - This invasive lentigo maligna melanoma ( noted to have some similarities to a map of Australia) has broadened network,broadened network blue-structures, peripheral black globules (clods)and an area of regression separating an "island" from the main body of tumour. It is asymmetrical with several colours.

History:

This lesion was noted macroscopically when the patient presented for another matter.

Histology read:-

(1) Sections show a lentigo maligna melanoma that is Clark level 3. It

is non-ulcerated and has a Breslow thickness of approximately 0.75mm.

Dermal mitoses are present in moderate numbers indicating the lesion is

in vertical growth phase. No lymphovascular or perineural infiltration

is seen. The lesion is completely excised with a minimum clearance of

approximately 6mm.

There was also a BCC which is evident in the clinical image over the lower mandible

DermNetNZ   eMedicine   PubMed   Dermatology Online   Archives   JAAD for "Melanoma invasive"

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