Tuesday, March 23, 2010, 7:30 PM
Issues in the Evaluation of Melanocytic Lesions
STEVEN R. TAHAN
Beth Israel Deaconess Medical Center, Boston, MA
In accordance with ACCME guidelines regarding disclosure, the USCAP policy requires that faculty members who have a significant financial or other relationship with a commercial company, entity, or service (which will be discussed in this Symposium) must disclose this to attendees. The Academy also requires that speakers disclose any products that are not labeled for the use under discussion. The speakers listed below have indicated they have nothing to disclose.
MARTIN C. MIHM, Harvard Medical School, Massachusetts General Hospital, Boston, MA
GEORGE F. MURPHY, Harvard Medical School, Brigham and Women's Hospital, Boston, MA
STEVEN R. TAHAN, Harvard Medical School and Beth Israel Deaconess Medical School, Boston, MA
ROY KING, Knoxville Dermatopathology Laboratory, Knoxville, TN
Clinical histories are displayed below.
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Submitted by: Roy King - Knoxville Dermatopathology Laboratory, Knoxville, TN
63 Year old male presented to his dermatologist
with a pigmented lesion on his right posterior shoulder.
The patient was unaware of the duration of the lesion and
has a history of multiple benign moles removed from his
back. His wife noticed this lesion and is not sure if
this was a site of previous biopsy.
Case 1 - Slide 1
Submitted by: Steven R. Tahan - Harvard Medical School and Beth Israel Deaconess Medical School, Boston, MA
This nevus was shaved from the neck of a 35 year old woman
who was 29 weeks pregnant for indication of increasing
Submitted by: Martin C. Mihm - Harvard Medical School, Massachusetts General Hospital, Boston, MA
At age 8 this boy developed a mole on the posterior scalp.
His parents thought that it was the result of a "bug bite."
the lesion gradually became raised and intermittently bled.
By age 13 it was large and ulcerated. The parents had been
treating it with a variety of herbal medicines and other
remedies. He began to wear a hat to cover the area. The
lesion became so large that it bled almost daily. Finally,
after much taunting by other children and after much
bleeding he sought medical advice. A biopsy was taken.
Submitted by: George F. Murphy - Harvard Medical School, Brigham and Women's Hospital, Boston, MA
A 59-year-old man presented with a 4mm brown papule on the left calf. Shave biopsy was performed and is represented in images 1-7. Fourteen months later, left inguinal adenopathy was noted and a lymph node dissection was performed (representative image of node - images 8-10 [s100 stain=image 10]).
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