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.

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.