Dermoscopy Superficial Spreading Melanoma 2

2011
07.27

Melanoma

Dr. Thomas P. Habif, MD discusses Dermoscopy Superficial Spreading Melanoma 2. See more at www.dermnet.com PLEASE RATE AND COMMENT!!! This is a picture of a pigmented lesion that appears to be suspicious. There is an irregular border, there is notching in one area, the pigmentation is dense in the center, there is an area of hypo-pigmentation that is pink out here on the edge. So our initial impression is that this is a worrisome lesion even before we view it with a Dermoscope. Lets look at the lesion now with the Dermoscope. We will analyze the pigment network first. Here the pigment network looks quite regular; there is a net-like pattern, the lines are quite uniform, and it blends out near the periphery. However, the net-like pattern is lost in these areas. Here it again seems to be quite normal. There is a bluish-white area typical of a bluish-white veil in the center; this was not apparent when the lesion was viewed with low-powered magnification. There does not seem to be any atypical vascular pattern. We will look at the periphery for streaks. I do not see any finger-like projections extending from the periphery. The pigmentation is quite irregular; it is very dense in this area, as it is in these other areas. The pigmentation is black, indicating that the melanin is high in the epidermis. I do not see any irregular dots or globules, and there are essentially no regression structures. Lets look at a high-power view of the same lesion. This area shows a well …
Video Rating: 5 / 5

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