Figure 15.1 39-year-old Caucasian male with a pink, ulcerated nodule on the right heel Differential Diagnosis Pyogenic granuloma Basal cell carcinoma Melanoma Metastatic carcinoma Angiosarcoma Atypical fibroxanthoma Spitz nevus Adenocystic…

Figure 18.1 40× magnification. CK7 positive staining of the cytoplasm Diagnosis Cutaneous metastatic carcinoma, the source is most likely a primary lung cancer. Microscopic Features Metastases are typically categorized broadly…

Figure 8.1 Toe melanoma A 4 mm punch biopsy was taken under local anesthetic digital block. Histology was reported as ‘invasive malignant melanoma with Breslow thickness of at least 1.2…

Figure 9.1 Preoperative Halo graft markings The skin graft is harvested from the ‘halo’ area i.e., the outer area geometrically called the annulus as shown. I use a No. 22…

Figure 16.1 Elderly Caucasian male with large eroded lesion on the neck Differential Diagnosis Basal cell carcinoma Squamous cell carcinoma Amelanotic melanoma Keratoacanthoma Sebaceous carcinoma Merkel cell tumor Biopsy Results…

Figure 2.1 Large lateral nasal defect The skin graft was ‘quilted’ in place with a quilting suture through the base of the wound (Fig. 2.2). This method allows me to…

Figure 12.1 H&E, 20× magnification Figure 12.2 H&E, 100× magnification This feature creates a well-know pitfall that may happen in a limited sample of a granular cell tumour. One can…