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Image Number #2959 (Melanoma in situ)

Site: Back

Diagnosis: Melanoma in situ

Sex: M

Age: 53

Type: Dermlite Non Polarised

Submitted By: Alan Cameron

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Description: Pattern shows very coarse lines reticular, pink structureless area top right, and grey in a pattern not unlike annular/granular in facial lesions. It has been suggested that heavy actinic damage may efface the rete ridges, giving rise to pseudonetwork, not network. I could not dermoscopically diffentiate between regressing solar lentigo and lentigo maligna.

History: 53 year old man with past history multiple BCCs. This lesion noted by GP. Histology reported as; Sections show a level 1 (in situ) lentigo maligna melanoma. There is no ulceratiopn, significant lymphocytic infiltrate or dermal invasion. There is some old regression with melanin inconctinence but no active regression.

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