Resolving Quandaries in Dermatology, Pathology & Dermatopathology

Wide and Deep Excision for Melanoma?

…W. Sampson Handley, in 1907, proposed margins of excision for melanoma of 1 inch (Handley admitted to never having had the opportunity to study a single primary melanoma, but only metastases of that malignant neoplasm), it became accepted practice o…

Dermatology Practical & Conceptual

Balloon cell melanoma in primary care practice: a case report

Abstract A case of balloon cell melanoma encountered in a primary care skin cancer practice in Melbourne, Australia is presented. The presenting lesion was 6 mm in diameter, ulcerated, non-pigmented and without any algorithmic clues to melanoma. How…

Resolving Quandaries in Dermatology, Pathology & Dermatopathology

Recurrence of Melanoma?

“Traditionally, local recurrence of melanoma is considered to be the appearance of melanoma foci within 5 cm of the primary excision site. This includes metastatic melanoma involving the primary excision site, satellites, and intransit metast…

Dermatology Practical & Conceptual

Acral melanoma with hyperkeratosis mimicking a pigmented wart

…arallel ridge pattern on dermoscopy, strongly suggesting acral melanoma. When a hyperkeratotic pigmented lesion on the sole is encountered, one should rule out melanoma by careful examination of the periphery of the lesion. Dermoscopy is a helpful ad…