Pigmented Skin Lesion

Last updated 20.09.12

 

Index

 

Definition

- Skin lesion with features of altered melanin pigmentation

 

Features

- Rough vs smooth (extent of desquamation)

- Greasy vs dry

- Shape, symmetry

- Size

- Color: homogenous, heterogenous

 

Causes

- Seborrhoiec Keratosis

- Actinic Keratosis (Solar Keratosis)

- Keratoacanthoma

- Solar Lentigo

- Melanoma

- SCC

- BCC

 

Mx

- Monitor

- Dermoscopy

- Skin Bx

- +/- Excisional Biopsy

-  Any suspicious lesion w 2-4mm margins

-  Will need to re-excise if Melanoma anyway