Skin tumours
An 80-year-old woman with Fitzpatrick type 1 skin presented with an irregular ulcer with rolled up border involving the upper medial part of the right cheek extending to the nasolabial fold and upper part of the melolabial fold of about one year duration. A 0.5 cm incisional biopsy was taken and showed an ulcerative BCC on histological examination.
An asymptomatic, rounded, well-circumscribed, pigmentd nodulo-ulcerative lesion about 2 centimeters in diameter with rolled-up border of more than one year duration. The tumor had been removed with a suitable safe margin.
An 80-year-old man presented with an asymptomatic, solitary plaque with well-demarcated border on the chest of about 3 years duration. O/E: a superficial erosion was seen. Two clinical differential diagnoses were in mind; BCC and Bowen disease. Incisional biopsy showed Bowen’s disease with early invading SCC.
A 75-year-old man presented with an asymptomatic, rounded, hyperpigmented plaque with verrocous finely fissured surface involved the lateral part of the cheek of many years duration. It has been successfully curated and electrofulgarated under LA.
A 72-year-old rural woman presented with an asymptomatic, large, pigmented nodulo-ulcerative lesion on the left side of the anterior chest of 4-5 years duration. The lesion was nearly rounded and about 6-7 centimeters in greatest diameter with pigmented rolled-up border. Clinically was diagnosed as ulcerative BCC and it has been excised totally with an about 0.5 cm safe margin and sutured in 2 layers under local anesthesia. Histopathologically, was consistent with totally excised ulcerative BCC.
A 65-year-old man presented with multiple, asymptomatic, hyperpigmented, verrucous plaques with a velvety-like surface invomlved the face, trunk and extremities of many years duration. Many lesions especially those cosmetically significant were threated through many sessions of cryotherapy.
Case presented by Dr. Ayman Abdelmaksoud, MD (Egypt).
A 62-year-old man presented with an asymptomatic noduloulcerative tumor about one centimeter in diameter with pearly rolled up border and central crater involved the supraorbital area of 3 years duration.
A 65-year-old man presented with an asymptomatic, rounded, 2 centimeters in diameter partially-crusted ulcer with a thread-like border involving the side of the face midway between the lateral canthus and the ear tragus of three years duration. Incisional biopsy confirmed ulcerative BCC. It has been excised with a suitable safe margin and primarily sutured.
