Nodular BCC

Age: 85 years
Gender: Male
Site: Scalp
Duration: 3 years
Morphology: An oval red nodule about 5 x 3 centimeters having a rolled up pigmented border and and easily bleeding surface. No regional or distant lymph node enlargement.

Nodular- Pigmented BCC

Age: 74 years
Gender: Female
Site: Scalp
Duration: > 3 years
History: An irregular oval plaque about 8 x 5 centimeters with pigmented periphery and nodular center. The central red nodule had propensity for easily bleeding on touch. Incisional biopsy confirmed BCC.

KA in a child with XP

Age: 10 years
Gender: Male
Site: Lower lip
Duration: 10 months
History: A known case of xeroderma pigmentosum with positive family history of similar condition and early onset skin tumors. He presented with an asymptomatic, dome-shaped nodule with a central keratinous plug. Excisional biopsy showed KA.

Secondary metastasis (Ca testis)

Age: 20 year
Gender: Male
Site: Trunk
Duration: 5 months
History: Hard testicular mass diagnosed through biopsy as testicular carcinoma. Six months later, many asymptomatic, infiltrative nodules and plaques simulating B-cell lymphomatous lesions deveoped on the trunk. Skin biopsy disclosed their metastatic nature. 

Kaposi sarcoma

Age: 74 years
Gender: Male
Site: Hands & Feet
Duration: > One year
History: Many asymptomatic violaceous firm-hard nodules and plaques confined to the acral parts of the limbs. No lymph node or distant metastasis.

Noduloulcerative BCC

Age: 66 year
Gender: Female
Site: Side of the nose
Duration: 18 months
Morphology: A noduloulcerative lesion with rolled up edge and easily bleeding tendency.

SCC complicating LP

Age: 75 year
Gender: Male
Site: Lower lip
Duration: 5 months
History: More than one year history of lichen planus involved the lip. At last 5 months a superficial ulcer with a slightly elevated border developed atop LP. Biopsy showed SCC.

Secondary metastasis (Ca pancreas)

Age: 40 year
Gender: Male
Site: Trunk & Scalp
Duration: 5 months
History: Multiple, asymptomatic, infiltrative plaques and nodules variable in shapes and sizes. Skin biopsy revealed poorly differentiated metastatic cells infiltrating the skin. MRI of abdomen disclosed carcinoma of the tail of pancreas.

Multiple BCCs in Gorlin's syndrome

Age: 42 year
Gender: Male
Site: Face / Trunk / Limbs
Duration: Since adolescence
History: Multiple BCCs (nodular / superficial / pigmented / ulcerative) since age of 15 years. They increased in number and size with time. He laso had palmar pits.

Superficial BCC

Age: 42 year

Gender: Male

Site: Leg

Duration: 5 years

Morphology: An asymptomatic, large, red scaly plaque with an irregular well-circumscribed outline with thready border. Incisional biopsy showed superficial BCC. 

KA on the lip

Age: 37
Gender: Male
Site: Lower lip
Duration: 3 months
Morphology: An asymptomatic, rounded, dome-shaped nodule with central keratinous plug.

Pigmented BCC in XP

Age: 78 year
Gender: Male
Site: Face
Duration: 4 years
History: An elderly man, a known case of xeroderma pigmentosum presented with  an irregularly-shaped, darkly-pigmented patch-plaque proved on skin biopsy to be pigmented BCC. 

SCC

Age: 78 years
Gender: Male
Site: Nose
Duration: 18 months
History: A large, asymptomatic, hard, cruste, pinkish nodule with an irregular surafce associated with many lesions of actinic keratotis in other areas of the face. Incisional biopsy revealed SCC. No lymph node involvement or distant metastasis.

B-cell lymphoma

Age: 45 years
Gender: Male
Site: Legs
Duration: 3 months
Morphology: Two asymptomatic hard dull-red nodules one centimeter diameter affected both legs in a symmetrical way. No lymph node or other organ involvement.

BCC in xeroderma pigmentosum

Age: 7 years
Gender: Female
Site: Nose
Duration: 6 months
History: A small ulcer with bleeding propensity on the side of the nose of a girl with diffuse freckling due to XP. History of XP was positive in many family members.

B-cell lymphoma

Age: 59 years
Gender: Male
Site: Trunk (Chest)
Duration: 6 months
Morphology: Many asymptomatic, dull-red, hard nodules and plaques. No associated lymph nodes enlargement or organomegally.

SCC in a skin graft

Age: 42 years
Gender: Male
Site: Foot
Duration: 2 years
History: For traumatic injury a skin grafting to repair the lost tissue done 15 years ago. The patient presented with a large, nodular mass having a verrucous surface and central branched ulcer (fissured surface). Biopsy showed SCC within the grafted area.

SCC on the nose

Age: 86 years

Gender: Female

Site: Nose

Duration: One year

Morphology: Pyogenic granuloma-like nodular mass with slightly vegetative fragile granular base covered with bloody crust and elevated border. No regional or distant lymph node enlargement. 

Multiple BCCs in XP

Age: 24 years
Gender: Female
Site: Face
Duration: 10 years
History: Multiple pigmented, nodular and ulcerative BCCs started to appear at prepubertal age in this woman with hereditary xeroderma pigmentosum.

B-cell lymphoma

Age: 82 years
Gender: Male
Site: Face
Duration: 1 year
History: Multiple, asymptomatic, indurative and infiltrative erythematous nodules and plaques involved mainly the face and also the trunk. Mediastinal and cervical lymph nodes were involved in addition to hepatosplenomegally.

B-cell lymphoma

Age: 60 years

Gender: Male

Site: Face

Duration: 10 months

History: Asymptomatic, erythematous, indurated plaques involved both preauricular areas and forehead with no lymph node enlargement or organomegally.

Superficial BCC

Age: 68 years
Gender: Male
Site: V-area of the chest
Duration: > 1 year
History: An asymptomatic, persistent, red patch with an irregular outline and superficially eroded and partially crusted surface. Excisional biopsy revealed BCC. 

Pigmented BCC

Age: 73 years
Gender: Female
Site: Cheek
Duration: 2 years
Morphology: An asymptomatic, irregularly-shaped, pigmented nodular lesion with an elevated border.