Primary Care Dermatology Society
The leading primary care society for dermatology and skin surgery

Melanoma

PDF Print E-mail

CASE 1
53 year old male - melanoma on the back, Breslow thickness 0.4mm

 

 

 

 

 

 

 

 

 

 

 

Dermoscopic features: asymmetry of lesion, variable size of the network, variable sized dots and globules (both black and dark brown), multiple colours including the background bluish haze in the central portion

(Copied with kind permission of Dr Catriona Henderson, Consultant Dermatologist, Royal South Hants Hospital, Southampton)


CASE 2
43 year old male – melanoma on the back, Breslow thickness 0.9mm

 

 

 

 

 

 

 

 

 

 

 

Dermoscopic features: asymmetry of lesion, three different pigment patterns (network at periphery 2-3 o’clock, featureless in the majority and cobblestone at 1 o’clock), branched streaks & pseudopods at 4-5 o’clock, multiple colours

(Copied with kind permission of Dr Catriona Henderson)


CASE 3
32 year old female – melanoma on the neck, Breslow thickness 0.25mm

 

 

 

 

 

 

 

 

 

 

 

Dermoscopic features: asymmetry of lesion, variable size of the network, fine mid-brown dots at 5 o’clock, plus bluish haze at 4 o’clock

(Copied with kind permission of Dr Catriona Henderson)


CASE 4
60 year old female – melanoma on the abdomen, Breslow thickness 1.1mm

 

 

 

 

 

 

 

 

 

 

 

Dermoscopic features: asymmetry of lesion, network just visible at 8 o’clock with the rest of the lesion quite featureless, but showing multiple colours

(Copied with kind permission of Dr Catriona Henderson)


CASE 5
57 year old female – melanoma on leg, Breslow thickness 0.4mm

 

 

 

 

 

 

 

 

 

 

 

Dermoscopic features: asymmetry of lesion, network at the periphery, but disordered at 9 o’clock, branched streaks at 5 o’clock, multiple colours

(Copied with kind permission of Dr Catriona Henderson)


CASE 6
44 year old female – melanoma on back, Breslow thickness 0.8mm

 

 

 

 

 

 

 

 

 

 

 

Dermoscopic features: asymmetry of lesion with both a pigment network and featureless areas. Multiple black and brown variable sized dots through-out central portion

(Copied with kind permission of Dr Catriona Henderson)


CASE 7
83 year old female - lentigo maligna melanoma on arm. Breslow thickness 1.5mm

 

 

 

 

 

 

 

 

 

 

 

Dermoscopic features: asymmetry, totally disorganised network, multiple mid-brown globules particularly marked at 3 o’clock, multiple colours

(Copied with kind permission of Dr Catriona Henderson)


CASE 8
53 year old female – melanoma on abdomen, Breslow thickness 1.3mm

 

 

 

 

 

 

 

 

 

 

 

Dermoscopic features: variable sized network at periphery, multiple mid-brown dots and globules in paler central areas, blue-grey ground-glass haze in centre

(Copied with kind permission of Dr Catriona Henderson)


CASE 9
68 year old male – melanoma on right side of back, Breslow thickness 0.8mm

 

 

 

 

 

 

 

 

 

 

 

Close up image of the melanoma

 

 

 

 

 

 

 

 

 

 

 

 

Dermoscopic features: asymmetry of lesion with totally disorganised pigment pattern with just discernable network at 12 o’clock and light brown dots at 11 o’clock, multiple colours

(Copied with kind permission of Dr Catriona Henderson)


CASE 10
53 year old male – melanoma on back, Breslow thickness 3.5mm

 

 

 

 

 

 

 

 

 

 

 

Dermoscopic features: asymmetry of lesion, area of central ulceration, blue-grey veil over the nodule, multiple colours through-out

(Copied with kind permission of Dr Catriona Henderson)


CASE 11
33 year old female – melanoma, Breslow thickness 0.4mm

 

 

 

 

 

 

 

 

 

 

 

Dermoscopic features: very irregular edge, network at edge of lesion just visible, featureless clumped pigmentation in the centre with a blue grey-veil just visible within this 

(Copied with kind permission of Dr Catriona Henderson)


CASE 12
31 year old female – melanoma on abdomen, Breslow thickness 1.7mm

 

 

 

 

 

 

 

 

 

 

 

Dermoscopic features: mid-brown pigment globules at the periphery around 9 o’clock,blue-grey veil overlying pigment nodule

(Copied with kind permission of Dr Catriona Henderson)


CASE 13
60 year old male - melanoma on back, Breslow thickness 0.25mm

 

 

 

 

 

 

 

 

 

 

 

Dermoscopic features: asymmetry of lesion with multiple fine dots and globules of variable colour, network just visible at 5 o’clock

(Copied with kind permission of Dr Catriona Henderson)


CASE 14
47 year old female – melanoma on abdomen, Breslow thickness 0.6mm

 

 

 

 

 

 

 

 

 

 

 

Dermoscopic features: asymmetry of pattern (network and featureless) with multiple dots & globules of variable colour throughout the lesion, reverse pigment network in the centre of the lesion, pseudopods at 1-2 o’clock, multiple colours

(Copied with kind permission of Dr Catriona Henderson) 


CASE 15
39 year old female – melanoma on leg, Breslow thickness 0.7mm

 

 

 

 

 

 

 

 

 

 

 

Dermoscopic features: asymmetry of pattern, multiple fine dots (4-5 & 11 o’clock) and globules of variable size and pigmentation (central area), multiple colours 

(Copied with kind permission of Dr Catriona Henderson)


CASE 16
61 year old female – melanoma on arm, Breslow thickness 1.1mm

 

 

 

 

 

 

 

 

 

 

 

Dermoscopic features: featureless scattered pigmentation with multiple colours, fine brown dots at 12 o’clock mostly

(Copied with kind permission of Dr Catriona Henderson)


CASE 17
22 year old male - melanoma 0.5mm

 

 

 

 

 

 

 

 

 

 

 

Dermoscopic features: asymmetry of pattern (mixed network & featureless) with dots and globules of variable size & colour, plus variable sized network

(Copied with kind permission of Dr Catriona Henderson)


CASE 18
86 year old male - lentigo maligna melanoma on the back, Breslow thickness 0.3mm

 

 

 

 

 

 

 

 

 

  

 

Dermoscopic features: asymmetry of lesion, highly vascularised with extensive disordered vasculature, variable sized dots and globules, with clumps of dark pigment at 6 o’clock and just discernable network at 5 o’clock, multiple colours

(Copied with kind permission of Dr Catriona Henderson)


CASE 19
48 year old male - melanoma-in-situ in back

 

 

 

 

 

 

 

 

 

 

 

Dermoscopic features: disordered, asymmetrical and variable sized pigment network, very thickened in some areas, mid-brown dots in central area

(Copied with kind permission of Dr Catriona Henderson)


CASE 20
60 year old male – melanoma on leg, Breslow thickness 1.5mm

 

 

 

 

 

 

 

 

 

 

 

Dermoscopic features: asymmetry of pattern, with variable sized network most visible at the periphery, blue-grey veil in centre, multiple colours

(Copied with kind permission of Dr Catriona Henderson)


CASE 21
24 year old female – melanoma on back

 

 

 

 

 

 

 

 

 

 

 

Close up image of melanoma

 

 

 

 

 

 

 

 

 

 

 

 

Dermoscopic features: the reticular pigment network of the main body of the mole is somewhat irregular, albeit not too dramatic, but the north western portion is highly asymmetrical and shows very dark and grossly broadened pigment network with an area of scar like depigmentation between the bunny's head and ear

(Copied with kind permission of Dr Stephen Hayes, GPwSI in dermatology, Southampton) 


CASE 22
76 year old female – nodular melanoma on leg, Breslow thickness 1.2mm  

 

 

 

 

 

 

 

 

 

 

 

Dermoscopic features – a pigment network out of which is arising a bluish nodule

(Copied with kind permission of Dr Stephen Hayes) 


CASE 23
84 year old female – melanoma on shoulder, Breslow thickness 2mm

 

 

 

 

 

 

 

 

 

 

 

Dermoscopic features - numerous branched streaks/radial streaming along the left hand border

(Copied with kind permission of Dr Stephen Hayes) 


CASE 24
29 year old red-haired female – melanoma on leg, Breslow thickness 0.5mm

 

 

 

 

 

 

 

 

 

 

 

Dermoscopic features: the milky-red appearance represents a very abnormal vascular pattern  

(Copied with kind permission of Dr Stephen Hayes)


CASE 25
82 year old female – melanoma on arm, Breslow thickness 0.5mm. Patient had been aware of the ‘mole’ for years and had not been concerned. It was picked up as an incidental finding by the GP

 

 

 

 

 

 

 

 

 

 

Dermoscopic features: blue white veil at 10 o'clock, irregular white structure centrally, irregular dots and globules (notably at 2 and 8 o'clock) and branched streaks/radial streaming (notably at 4 o'clock)

(Copied with kind permission of Dr Stephen Hayes)