Nodular BCC

Age: 73 year

Gender: Male

Site: Scalp

Duration: 2 years

Morphology: An asymptomatic, solitary, dome-shaped nodule (1.5 cm diameter) covered with thick crust and has a rolled up border. Excisional biopsy showed nodular BCC.

Basal Cell Carcinoma

Age: 80 year
Gender: Male
Site: Face (Temporal region)
Duration: 3 years

Morphology: A slowly growing oval ulcer covered with bloody-purulent crust and has rolled up border with easily bleeding tendency.

Nodular BCC

Age: 65 year
Gender: Male
Site: Scalp
Duration: 3 years

History: An asymptomatic, solitary, oval red nodule with an easily bleeding tendency. It has been removed surgically with 0.5 cm safe margin and primarily sutured.

Secondary cutaneous plasmacytoma

Age: 34 year

Gender: Male

Site: Abdomen

Duration: 3-4 months

History: An asymptomatic, solitary, mushroom-like, slightly crusted red nodule. The patient had no other complaint. Excisional biopsy revealed secondary cutaneous plasmacytoma. Further assessment by an oncologist disclosed an asymptomatic hidden multiple myeloma.

Nodular BCC

Age: 74 year
Gender: Female
Site: Scalp
Duration: 3 years
Morphology: An asymptomatic, red nodule (1.5X1.5 cm) with peripheral pigmentation and central ulceration with easy bleeding tendency. The second photo shown was after surgical excision of the tumor.

Secondary metastasis (Ca breast)

Age: 59 years
Gender: Female
Site: Anterior trunk
Duration: 1 year

History: Two years after mastectomy for Ca breast, this woman presented with asymptomatic, red, hard plaques and nodules involved most of the anterior trunk of one year duration (post-mastectomy). Skin biopsy disclosed secondary metastasis due to Ca breast. Axillary lymph nodes were positive and both lungs and liver were also involved by secondary metastasis.

SCC complicating venereal wart

Age: 65 years
Gender: Male
Site: Penile shaft
Duration: Wart (3 years) - SCC (6-8 months)
History: Genital wart involved the penile shaft and suprapubic region. Some wart lesions had been treated with electrocautery two years ago. At last 6-8 months an eroded red nodule developed on top of wart lesions. Excisional biopsy with a suitable safe margin showed SCC invading the dermis.
For more histologic details visist: www.globalskinatlas.com

SCC

Age: 63 year
Gender: Male
Site: Lower lip
Duration: 8-10 months
Morphology: An asymptomatic, crusted, keratotic nodule about 1 cm diameter on the lateral side of the lower lip. Excisional biopsy showed SCC. 

Pigmented BCC

Age: 50 year

Gender: Female

Site: Lower eyelid

Duration: 18 months

Morphology: An asymptomatic, pigmented, oval nodule with rolled up border. Excisional biopsy showed pigmented BCC.

Destructive BCC

Age: 83 year

Gender: Female

Site: Nose

Duration: 5 years

Morphology: An irregular destructive ulcer with rolled up border and crusted base. The tip and part of the dorsal surface of the nose had been destroyed. There was no lymph node enlargement or distant metastasis.

Benign cephalic histiocytosis

Age: 14 months

Gender: Male

Site: Face (Cheeks)

Duration: 6 months

History: Multiple, slightly raised, red-yellowish papules, few millimeters in diameter involving the cheeks and neck. The mucosae and the viscera were not involved. Skin biopsy showed diffuse dermal infiltration of non-lipidized histiocytic cells.   

Bowenoid papulosis

Age: 28 year

Gender: Male

Site: Penis

Duration: 10 months

History: Multiple, asymptomatic, seborrhoeic keratosis-like brownish papules with some black dots involved the penile shaft. One lesion was taken as a biopsy and showed Bowen's disease-like (Ca in situ) histologic picture.

Adenoma sebaceum

Age: 23 year
Gender: Female
Site: Cheek & Nose
Duration: Since early childhood
Morphology: Asymptomatic, skin-coloured to brownish, firm papules without other manifestations of tuberous sclerosis. The lesions on the left cheek had been treated with dermabrasion with bad cosmetic outcome (atrophic scar).

Multiple BCCs

Age: 78 year
Gender: Female
Site: Face
Duration: 3 years
History: Multiple crusted ulcers with easily bleeding tendency involved  different areas in the face.

Recurrent BCC within skin graft

Age: 53 years

Gender: Male

Site: Cheek

Duration: 1 year

History: An ulcerative BCC had been surgically removed with skin grafting two years before. One year later, two translucent nodules with some pigmentation have developed within the graft. Biopsy showed nodular BCC.
*Submitted by: Dr. Khalil Al-Hamdi 

Basal Cell Carcinoma

Age: 57 year

Gender: Female

Site: Forehead

Duration: 2 years

Morphology: An asymptomatic, superficial, irregularly-shaped patch with thready pigmented border.

Kaposi sarcoma

Age: 66 year

Gender: Female

Site: Leg

Duration: One year

Morphology: Asymptomatic, multiple, hard, dark blue-purplish nodules. No L.N or distant metastasis.

Ulcerative-Pigmented BCC

Age: 80 years

Gender: Male

Site: Nose

Duration: 18 months

Morphology: Rounded ulcer (1.5 cm in diameter) with rolled up pigmented border and crusted centre with an easily bleeding tendency. No lymph node involvement.

* Submitted by: Dr. Khalil Al-Hamdi

Nodular BCC

Age: 82 years

Gender: Female

Site: Upper lip

Duration: 2 years

Morphology: An asymptomatic, dome-shaped, slightly crusted, red nodule with rolled up border. Excisional biopsy showed nodular BCC.

Kaposi sarcoma

Age: 56 year
Gender: Male
Site: Limbs
Duration: 9 months
Morphology: Asymptomatic, irregularly-shaped, firm, scaly, purplish plaques and nodules. No lymph node or distant metastasis. HIV antibody was non reactive.

Acral lentiginous melanoma

Age: 24 year

Gender: Female

Site: Big toe

Duration: > 1 year

Morphology: An asymptomatic, irregular hyperpigmented patch about 2.5 x 2 cm with central crust. No lymph node involvement or distant metastasis.

KS in a patient with CRF

Age: 68 years
Gender: Male
Site: Leg & Foot
Duration: > one year
History: A crippled, wheelchair-bound man with chronic renal failure of more than five years duration. He had many, asymptomatic, hard, purplish nodules and plaques. No lymph node or organ involvement.

Superficial BCC

Age: 50 years

Gender: Female

Site: Face (Upper mandibular area)

Duration: 2 years

Morphology: An asymptomatic, rounded, red plaque with an irregular thready pigmented border. The lesion was slightly pigmented.

Intra-oral Kaposi sarcoma

Age: 60 year
Gender: Male
Site: Tongue (Ventral surface)
Duration: 8 months
Morphology: Asymptomatic, multiple purple-bluish nodules. No other body sites were affected. HIV-Ab was negative.

Kaposi sarcoma

Age: 60 year
Gender: Male
Site: Hands & Feet
Duration: < one year
Morphology: Asymptomatic, firm purplish plaques and nodules. No lymph node enlargement or distant metastasis.

Kaposi sarcoma

Age: 67 year
Gender: Male
Site: Face & Hands
Duration: 9 months
History: Asymptomatic, purplish, infiltrative, firm nodules and plaques confined to the face and hands. No lymph node enlargement or distant metastasis. HIV antibody was non-reactive.

XP with nodular BCC

Age: 8 years
Gender: Female
Site: Cheek

Duration: One year
History: A girl with diffuse freckling due to XP had a rounded, dome-shaped nodule about 1.5 cm diameter with central crustation. Excisional biopsy revealed BCC.

Kaposi sarcoma

Age: 73 years
Gender: Female
Sites: Face/ Mouth/ Chest/ Hands & Feet
Duration: One year
History: Asymptomatic, multiple, purplish, widely distributed hard nodules and plaques. No lymph node involvement or distant metastasis.

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.