Site: Back
Diagnosis: Seborrhoeic keratosis irritated
Sex: M
Age: 34
Type: Heine
Submitted By: Greg Canning
Description: Macro shows a perly "rolled" edge more typically seen in BCC
History: This 34 yr old patient presented with an enlarging itchy lesion on the back. Clically it had rolled pearly borders suggestive of BCC, but dermoscopy showed a "stiff" lesion which "wobbled" as a whole with movement of the dermoscope plate. The combination of glomerular and hairping vessels prompted shave biopsy to exclude Bowens Disease the histopathology was reported as an irritated seborrhoeic keratosis.