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QUIZ OF THE WEEK 

Melanoma — or Mimic?

May 15, 2012

 
Case and photos courtesy of Ted Rosen, MD


A 58-year-old man presented for care when he noticed a flat, dark area on his left upper arm. The lesion was set against a background of fairly severe photodamage. Family history was positive for melanoma (mother and 1 of 4 sisters).

What two features of this lesion would lead you to suspect melanoma?

Please leave your comments below and click here for answer and discussion.

 

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by Simi Sudhakaran | August 03, 2012 6:27 PM EDT

I think it is a melanoma. Sudden onset of a new pigmented lesion over a severely photodamaged area is a red flag. Also the lesion has an erythematous border which makes it even more suspicious.

by Monica Harris | May 18, 2012 10:51 PM EDT

very black and changing.

by Firas Annajjar | May 18, 2012 3:46 AM EDT

I dont belive it is melanoma.We need to look for the ABCDE

ABCDE
1.asymmetry
2.irregular borders
3. multiple colors
4. diameter >6 mm
5. enlarging lesion

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