Clinical Case. Pigmented lesion on the nose.

• 4 Comments in “Clinical Case. Pigmented lesion on the nose.”

1. David Moreno Ramirez says:   Posted in December 20th, 2009 at 3:19 pm

   A tricky case!
   A pseudo-network is perfectly seen as the main part of the lesion. However, in my opinion the diagnostic clue corresponds to the small gray-bluish foci at the top of the picture. This pigmented foci is composed of small globules out of focus. I do not clearly see telangiectasia.
   I will dare to diagnose a tumor collision between a benign melanocytic lesion and a very small basal cell carcinoma.

   Thanks.
   David

2. David Moreno Ramirez says:   Posted in December 20th, 2009 at 3:23 pm

   the collision between basal cell carcinoma and early malignant lentigo would be an option.

   Thanks!

   David

3. Lara Ferrándiz says:   Posted in December 20th, 2009 at 3:26 pm

   Ther are two lesions:
   On the upper side of lesion, it seems to be a basal cell carcinoma, as I see blue nests and fine telangiectaisas although they are not very well focused.
   On the lower side of the lesion, I see an atypical pseudo network, so it could be a lentigo maligna.

4. dr_hemo says:   Posted in December 21st, 2009 at 6:00 pm

   considering the age of patient .. and the long history of the lesion .. its most probable basal cell carcinoma ..

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