Skip to content
March 16, 2011 / molehunter

A pebble hidden on a beach

Like many older persons, this gentleman had a large number of benign pigmented lesions on his back. Most are seborrhoeic warts, several are marked with purple marker pen to indicate they have been injected with local anaesthetic prior to shave excision. There was something different about one lesion. Can you spot which one? It is circled in the next image. The patient was unaware of it.

lots of benign lesions, one is the odd man out


odd lesion circled


here’s a close up

The dermoscopy reveals a bizarre blood vessel pattern -mixture of arborising and hairpin-which together with the pink pearliness strongly pointed to a BCC, which was confirmed on histology.

The no-touch dermoscope is very helpful for scanning large numbers of lesions, looking for the odd one out which can then be examined more fully with the glass plate ‘scope. Beware of the hidden skin cancer on a skin which is covered with benign lesions, it won’t always be a relatively harmless little BCC, sometimes it will be a melanoma, hiding like a pebble on a beach.

hairpin and arborising vessels seen on a pink background-BCC


One Comment

Leave a Comment
  1. interracial cheating stories / Dec 24 2013 11:33 pm

    Hey there, the image towards the top of this website submit is loading just a little strange for me? I attempted giving an e-mail but it bounced again.

Leave a Reply

Fill in your details below or click an icon to log in: Logo

You are commenting using your account. Log Out /  Change )

Google+ photo

You are commenting using your Google+ account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )


Connecting to %s

%d bloggers like this: