A Practical Guide to Dermoscopy by Orit Markowitz

Author:Orit Markowitz
Language: eng
Format: epub
Publisher: Lippincott Williams & Wilkins

Bottom line: Malignant, biopsy is necessary.

SECTION III: CLINICAL PALE BROWN

Chapter 8 Flat/Pale Brown/Brown

Take a look at the color wheel in Figure 8.1.

FIGURE 8.1 Color wheel: flat/pale brown/brown.

Step 1: Is the lesion flat or raised? Flat

Step 2: What color is the lesion on clinical assessment? Pale Brown

Step 3: What is the dermoscopic color? Brown

Step 4: Is further elucidation needed to decide whether to biopsy or not? Yes

Is this a malignant or benign pattern?

We’ve moved into the world of brown! When we are looking at flat, clinically pale brown, dermoscopically brown lesions, we have to consider malignancies that are early in their development, and this is good, because we want to catch them early! Early malignant melanoma (MM) and lentigo maligna, early basal cell carcinoma (BCC), and early squamous cell carcinoma (SCC) are in our differential. Our benign lesions include early dermatofibroma, early seborrheic keratosis, congenital and junctional nevi, and lentigo.

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