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August 13, 2014 / molehunter

Basal cell cancer on back of hand

This lesion presented with a vague history and I was initially uncertain what it was. Suspected Bowen’s disease and biopsied.

BCC back of hand (1)

Histology was nodular basal cell carcinoma. Here is the dermoscopy.

BCC back of hand (2)

Looking again (this picture was taken at review), I was amazed how I had missed these obvious signs of BCC. Observe the pearly background, classic arborising vessels, and ‘leaf like’ pigmented blue grey structures at 2 and 7 o’clock.

Stuff changes over time, uncertainty exists, and, believe it or not, we all make many mistakes (letter of James, chapter 3 verse 2). Always be careful and aware that you might get it wrong. That is where having understanding colleagues and a no-blame (but still accountable) team scores so high.

Treatment: excision with adequate margin, watching out for the big veins on the back of the hand.

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2 Comments

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  1. دانلود فیلم / Nov 15 2014 11:02 am

    Very good

  2. Buildbox Crack cracked / Jun 18 2016 5:24 am

    , , . .

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