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.

B-cell Lymphoma

Age: 65 year
Gender: Male
Site: Ear
Duration: 9 months
Morphology: Multiple firm to hard purplish nodules affecting both ears. No lymph node involvement or organomegaly.

Nodulo-ulcerative BCC

Age: 48 year
Gender: Female
Site: Nose
Duration: 10 months
Morphology: Nodule with a rolled up border and easily bleeding tendency.

Nodulo-ulcerative BCC

Age: 74 year
Gender: Male
Site: Nose
Duration: 18 months
Morphology: Dome-shaped pinkish nodule with central ulceration.

Acral Lentiginous Melanoma

Age: 37 year
Gender: Female
Site: Middle finger nail
Duration: 5 months
Morphology: Hutchinson's sign + Longitudinal melanonychia.

Ulcerative BCC

Age: 72 year
Gender: Male
Site: Forehead
Duration: 18 months
Morphology: Irregular ulcer that bleeds on minor touch with elevated rolled border.

Nodular BCC

Age: 30 year
Gender: Male
Site: Lateral canthus
Duration: 6 months
Morphology: Partially pigmented nodule with rolled up border. 

Recurrent BCC

Age: 68 year
Gender: Male
Site: Cheek
Duration: 1 year ( After recurrence)
Morphology: Ulcerative BCC with scarred center and active margin recurred 2 years after surgical excision.

Basal Cell Carcinoma

Age: 85 year

Gender: Male

Site: Scalp

Duration: 4 years

Morphology: Superficial ulcer with a thready border on a background of an atrophic bald scalp.

Amelanotic Melanoma

Age: 38 year
Gender: Male
Site: Back
Duration: 8 months
Morphology: Two red pyogenic granuloma-like nodules on a top of congenital bathing trunk (giant) melanocytic nevus.

Multiple KAs (Ferguson-Smith type of KA)

Age: 40 year

Gender: Male

Site: Legs - Feet

Duration: 4 months

Morphology: Multiple hemispherical nodules with keratotic surface.

Nodular BCC

Age:64 year

Gender: Male

Site: Forehead

Duration: > 1 year

Morphology: Rounded nodule with a rolled up border and surface telangectasia.

Acral Lentiginous Melanoma

Age: 48 year

Gender: Female

Site: Index finger

Duration: 10 months

Morphology: Sudden onset at adult age of  Hutchinson's sign + Melanonychia striata. 

Squamous Cell Carcinoma

Age: 68 year

Gender: Male

Site: Forehead

Duration: 1 year

Morphology: An oval ulcer with irregular everted edge.

Nodulo-ulcerative BCC

Age: 85 year

Gender: Male

Site: Face

Duration: 3 years

Morphology: A translucent nodule with surface telangectasia with a small ulcer started to develop.

Mutiple BCC

Age: 25 year
Gender: Male
Site: Face
Duration: 1 year
Morphology: Multiple asymptomatic small ulcers involving the center of the face. 

Basal Cell Carcinoma

Age: 52 year
Gender: Female
Site: Nose
Duration: > 2 years
Morphology: Rodent destructive ulcer with thready border.

Nodular BCC

Age: 58 year

Gender: Male

Site: Cheek

Duration: 1 year

Morphology: A rounded nodular lesion with rolled up border and crusted center. 

Morpheic BCC

Age: 37 year
Gender: Female
Site: Cheek
Duration: 18 months
Morphology: An ill-defined scar-like indurated plaque with surface telangectasis.

Keratoacanthoma

Age: 46 year
Gender: Female
Site: Face
Duration: 6 weeks
Morphology: Tyre-like nodule with central crater.

Squamous Cell Carcinoma

Summary
Age: 80 year
Gender: Male
Site: Scalp
Duration: 3 years
Morphology: A large well-demarcated vegetative beefy red mass.

Kaposi Sarcoma

Age: 65 year 
Gender: Female 
Site: Foot / Abdomen 
Duration: 1.5 year 
Morphology: Hard, asymptomatic, violaceous angiomatous nodules.

Squamous Cell Carcinoma

Summary
Age: 65 year
Gender: Male
Site: Lower lip
Duration: 1.5 year
Morphology: A phagedenic ulcer destructed most of the lower lip with one submental lymph node enlarged.

Recurrent Nodulocystic BCC

Summary
Age: 75 year
Gender: Male
Site: Temple
Duration: 1 year
Morphology: Nodulocystic tumor with central ulcerations and rolled up border. It has recurred within the scar of previous operation done 3 years before.

Mycosis Fungoides

Summary
Age: 56 year
Gender: Female
Site: Face
Duration: 3 years
Morphology: Well-circumscribed, erythematous, indurated plaques on the face.

Recurrent SCC

Summary

Age: 71 year
Gender: Male
Site: Chin
Duration: 6 months
Morphology: A rounded ulcer with everted edge recurred within a scarred area caused by removal of a previous SCC in the same area one year ago.

Ulcerative BCC

Summary

Age: 40 year
Gender: Male
Site: Scalp
Duration: 4 years
Morphology: A rounded ulcer with rolled up border and easily bleeding tendency.

Lentigo Maligna Melanoma

Age: 70 year
Gender: Male
Site: Face
Duration: Brownish patch: > 30 years while the red nodule about 6 months.
Morphology: An irregular brown-black patch regressed in some areas with newly developed central red nodule.

KA Complicating XP

Summary
Age: 45 year
Gender: Female
Site: Face
Duration: 4 months
Morphology: Skin-colored nodule with a central crater filled with keratin on a background of xeroderma pigmentosum.