Pigmented BCC

Age: 67 year
Gender: Male
Site: Lower eyelid
Duration: > 1 year
Morphology: An asymptomatic, darkly-pigmented nodule with small central ulceration having semilunar shape and rolled up border. 

Pigmented BCC

Age: 58 year

Gender: Male

Site: Neck

Duration: 5 years

Morphology: An asymptomatic blackish nodule with thready border.

SCC

Age: 77 year

Gender: Male

Site: Forehead

Duration: 10 months

Morphology: An asymptomatic, solitary, dome-shaped pinkish nodule with vegetative surface. No L.N enlargement or organomegaly.

SCC

Age: 80 year

Gender: Male

Site: Forearm

Duration: 2 years

Morphology: An asymptomatic large rounded solitary hemorrhagic and crusted plaque in a patient having many actinic keratoses on the face and forearms. No lymph node or distant metastases.

BCC

Age: 78 year

Gender: Female

Site: Nose

Duration: > 1 year

Morphology: An asymptomatic, keratotic, dome-shaped nodule with fissured surface. SCC was suspected on clinical background however, biopsy revealed BCC.

Unusual KA

Age: 27 year

Gender: Male

Site: Nose

Duration: 1 year

Morphology: Well-demarcated asymptomatic rounded destructive ulcer with a clean base. The lesion started as a dome-shaped nodule and after 6 months it started to ulcerate with no tendency for spontaneous resolution.  

SCC

Age: 65 year
Gender: Male
Site: Cheek
Duration: 10 months
Morphology: An asymptomatic solitary fungating beefy-red nodule with an everted edge. No lymph node or organ enlargement.

Recurrent BCC

Age: 70 year

Gender: Male

Site: Melolabial fold

Duration: 1 year

Morphology: Pearly ulcerative large nodule with surface telangectasia developed at the scarred area of previously excised BCC three years before.

Adenoid BCC

Age: 63 year

Gender: 3 years

Site: Forehead

Duration: 3 years

Morphology: An asymptomatic large skin-colored to whitish oval plaque with central ulceration and surface telangectasis. Skin biopsy showed adenoid BCC.

Nodular malignant melanoma

Age: 52
Gender: Male
Site: Scalp
Duration: 1 year
Morphology: An asymptomatic solitary large nodule with blue-blackish pigmentation. Biopsy proved nodular malignant melanoma. No lymph node or internal organ involvement.

Noduloulcerative BCC

Age: 71 year
Gender: Male
Site: Forehead
Duration: 18 months
Morphology: Noduloulcerative lesion with pearly rolled up border and easily bleeding tendency.

Keratoacanthoma

Age: 75 year
Gender: Female
Site: Forehead
Duration: 4 months
Morphology: An asymptomatic solitary, dome-shaped nodule with an irregular edge and keratin-filled central crater.

Nodular BCC

Age: 70 year
Gender: Male
Site: Preauricular region
Duration: 5 years
Morphology: Exophytic mass with multinodular surface with easily bleeding tendency and rolled up border. Regional lymph nodes were negative.

SCC complicating LP

Age: 57 year
Gender: Female (smoker)
Site: Lower lip (SCC)/ Inner cheek (LP)
Duration: 1 year (SCC)/ 5 years (LP)
Morphology: Vegetative ulcer with granular base and hemorrhagic crust on back ground of lichen planus.

Basal Cell Carcinoma

Age: 84 year
Gender: Male
Site: Face 
Duration:3 Years
Morphology: Deep ulcer with an irregularly-shaped pearly rolled up border with easily bleeding tendency on minor touch.

Kaposi sarcoma

Age: 74 year
Gender: Female
Site: Face, forearms and hands
Duration: > 1 year
Morphology: Multiple, asymptomatic, deep purplish plaques and nodules. No lymph node enlargement or organomegaly.

Pigmented BCC

Age: 75 year
Gender: Male
Site: Scalp
Duration: 3 years
Morphology: An asymptomatic, oval brownish plaque with well-demarcated irregular margin.

SCC complicating old burn scar

Age: 65 year
Gender: Male
Site: Lower leg 
Duration: 2 years
Morphology: A large indurated ulcer with an irregular border and vegetative crusted granular base within a scarred area (old burn 15 years ago).

Melanoma complicating congenital melanocytic nevus

Age: 75 year
Gender: Male
Site: Chest
Duration: 6 months
Morphology:A small dark reddish-brown dome-shaped crusted nodule developed within an irregularly-shaped congenital melanocytic nevus.

B-cell Lymphoma

Age:64 year
Gender: Male
Site: Generalized
Duration: 8-10 months
Morphology: Translucent pinkish nodules mimicking mulloscum contagiosum on the face and neck and dull red plaques and nodules on the trunk. Positive lymph nodes in the cervical and axillary regions with hepatosplenomegaly.

Kaposi sarcoma

Age: 45 year
Gender: Male
Site: Lower limb
Duration: > 1 year
Morphology: Asymptomatic, purplish nodules and plaques. No lymph node enlargement or organomegaly.

Leiomyoma

Age: 60 year
Gender: Female
Site: Face (Unilateral)
Duration: 10 months
Morphology: Multiple, asymptomatic, pinkish and skin-colored nodules associated with pain especially on cold exposure. Skin biopsy was consistent with leiomyoma.  

Kaposi sarcoma

Age: 38 year
Gender: Male
Site: Forearm (Unilateral)
Duration: 8 months
Morphology: Multiple, asymptomatic and painless, erythematous-purplish nodules. No lymph node enlargement and no organomegaly.

Paget's disease of the nipple and areola

Age: 55 year
Gender: Female
Site: Breast (Unilateral)
Duration: 1 year
Morphology: Unilateral, pruritic, dermatitis-like rash confined to the area of the areola of the breast.

Basal Cell Carcinoma

Age: 84 year
Gender: Female
Site: Cheek
Duration: 4 years
Morphology: Rodent ulcer with rolled up pearly border and surface telangectasia.

Kaposi sarcoma

Age: 41 year
Gender: Male
Site: Heels
Duration: 6 months
Morphology: Asymptomatic purplish nodules in HIV-negative man with no lymph nodes enlargement or organomegaly.

Acral lentiginous melanoma

Age: 40 year
Gender: Male
Site: Middle finger
Duration: One year
Morphology: Hutchinson's sign + Partial nail dystrophy.

Mycosis fungoides

Age: 55 year
Gender: Male
Site: Trunk
Duration: 2 years
Morphology: Multiple, pruritic, red to brown infiltrative plaques.

Kaposi sarcoma

Age: 60 year
Gender: male
Site: Leg
Duration: One year
Morphology: Asymptomatic dark-blue nodule with lobulated surface. Notice the scar above the lesion (previous lesion removed surgically).

Acral lentiginous melanoma

Age: 59 year
Gender: Male
Site: Foot
Duration: 3 years
Morphology: A hyperpigmented, asymmetrical, brown-blackish patch with an irregular border has recently developed superficial ulcer near the periphery of the lesion.

Paget's disease of the nipple and areola

Age: 50 year
Gender: Female
Site: Breast (Nipple & areola)
Duration: > 1 year
Morphology: A unilateral, pruritic, well-marginated, eczematous or psoriasiform plaque with complete destruction of the nipple.

Dermatofibrosarcoma protuberans

 Age: 47 year
Gender: Male
Site: Upper arm
Duration: 5 years
Morphology: An asymptomatic, slowly growing, hard tumor with multinodular surface. 

Acral Lentiginous Melanoma

Age: 38 year
Gender: Male
Site: Forefoot
Duration: One year
Morphology: A large, soggy and crusted area of brown-blackish pigmentation with color variegation. Skin biopsy showed invasive acral lentiginous melanoma.

B-cell Lymphoma

Age: 20 year
Gender: Male
Site: Face
Duration: 9 months
Morphology: Multiple, asymptomatic, erythematous nodules involved the face. Some nodules had translucent appearance with a few telangectatic vessels on their surface.

Keratoacanthoma

Age: 72 year

Gender: Female
Site: Hand
Duration: 3 months
Morphology: Dome-shaped nodule with a central keratin-filled crater.

Recurrent BCC

Age: 62 year
Gender: Female
Site: Scalp
Duration: 10 months
Morphology: An irregular ulcer with a thread-like margin recurred 2 years after treatment of the original BCC with curettage and cautery.

SCC on a background of actinic cheilitis

Age: 37 year
Gender: Male
Site: Lower lip
Duration: 6 months
Morphology: Asymptomatic, hard, keratotic, skin-colored nodule on a background of actinic cheilitis involved the entire lower lip.

Pigmented BCC

Age: 70 year
Gender: Male
Site: Nose
Duration: 3 years
Morphology: A large, irregularly-shaped, pigmented, ulcerative plaque with a thread-like margin. 

Squamous cell carcinoma

Age: 35 year
Gender: Male
Site: Lower lip
Duration: 6 months
Morphology: A painless fleshy-colored to pinkish firm to hard  nodule with a slightly verrucous surface of about one cm diameter. Both lips were affected by vitiligo many years before development of SCC.

Nodulo-ulcerative BCC

Age: 38 year
Gender: Male
Site: Forehead
Duration: One year
Morphology: An oval, pinkish, translucent, nodule with a prominent surface telangectases, rolled up border and a central scaphoid-like ulcer.

Nodular amelanotic melanoma

Age: 50 year
Gender: Male
Site: Foot
Duration: 1 year
Morphology: A solitary, large, rounded, dome-shaped nodule with some blackish pigmentation. Biopsy has showed invasive nodular melanoma pathology.

Ulcerative BCC

Age: 60 year
Gender: Male
Site: Scalp
Duration: > 5 years
Morphology: Large circular ulcer with a thready pigmented border and crusted base. There was no lymph node enlargement and biopsy confirmed the diagnosis of basal cell carcinoma.

Multiple BCCs in XP

Age: 13 year
Gender: Male
Site: Face
Duration: 1 year (BCCs)
Morphology: Multiple freckles, lentigens and nodulo-ulcerative BCCs.

KA of Long Duration

Age: 58 year
Gender: Male
Site: Foot
Duration: 3 year
Morphology: Asymptomatic, spherical, skin-colored, nodule with central keratinous plug of an unusually long duration.

Mycosis fungoides (Plaque stage)

Age: 67 year
Gender: Male
Site: Trunk
Duration: 3 years
Morphology: Multiple, pruritic, bluish-red, infiltrative plaques involved the trunk, face and limbs. No lymph node enlargement or hepatosplenomegaly. 

B-cell Lymphoma

Age: 30 year
Gender: Male
Site: Trunk
Duration: One year
Morphology: Multiple, asymptomatic,  firm , skin-colored to red nodules of different size. No lymph node enlargement or organomegaly detected. 

Nodulo-ulcerative BCC

Age: 77 year
Gender: Female
Site: Infra-orbital region
Duration: One year
Morphology: Single, asymptomatic, shiny, translucent nodule with a small central ulceration and few surface telangectasia.

Kaposi sarcoma

Age: 35 year
Gender: Male
Site: Leg
Duration: 9 months
Morphology: Asymptomatic, cherry-like nodule (mimics PG or cherry angioma) proved to be Kaposi sarcoma on histologic examination.

Squamous cell carcinoma

Age: 40 year
Gender: Male
Site: Foot
Duration: 10 months
Morphology: An asymptomatic solitary verrucous nodule with some brown-black pigmentation on its surface. Histologic examination revealed SCC.

Mycosis fungoides (Patch stage)

Age: 35 year
Gender: Male
Site: Trunk and upper limbs
Duration: 5 years
Morphology: Slightly infiltrative pruritic erythematous dermatitis-like patches.