Multiple trichoepitheliomas

Age: 22 years
Gender: Female
Site: Face
Duration: Since early childhood
Morphology: Asymptomatic, flesh-colored, translucent, firm papules. One of the  patient's brothers has had similar lesions.

Multiple neurofibromas

Age: 67 year
Gender: Female
Site: Face
Duration: Many decades
Morphology: A known case of neurofibromatosis since early childhood. She presented with myriads of skin-colored soft nodules involving most of the face and many other parts of the body. The face mimicked a "bunch of grape" due to these tumors. The nodules were soft and can be pushed down into the panniculus by light pressure with the finger ("buttonholing") and spring back when released.

Mycosis fungoides

Age: 46 years
Gender: Female
Site: Face & Forearms
Duration: 5 years
Morphology: Asymptomatic, bilateral symmetrical, infiltrative red plaques and nodules. There was no lymph node or organ enlargement.

Pigmented BCC

Age: 77 year
Gender: Female
Site: Mandibular region
Duration: 3 years
Morphology: An oval, large ulcer with pigmented rolled up border and crusted base. The lesion bleeds easily on minor touch. There was no lymph node enlargement.

SCC

Age: 27 year
Gender: Male
Site: Lower lip
Duration: 8 months
Morphology: An asymptomatic, indurated, oval ulcer with everted borders and crusted granular base. No lymph node enlargemet or distant metastasis.

MF (Plaque stage)

Age: 43 year
Gender: Female
Site: Thigh
Duration: 1 year
Morphology: A solitary, asymptomatic, indurated, brownish-red plaque with multinodular surface and irregular well-demarcated outline.

Squamous cell carcinoma

Age: 70 years
Gender: Females
Site: Lower lip
Duration: 18 months
Morphology: Oval ulcer with an everted borders and hemorrhagic crusted base. No lymph node enlargement or organomegaly.

Noduloulcerative BCC

Age: 75 years

Gender: Male

Site: Upper lip

Duration: 2 years

Morphology: Oval noduloulcerative lesion with partially scarred center and pearly rolled up border and surface telangectasis.

Keratoacanthoma

Age: 65 years
Gender: Male
Site: Cheek
Duration: 6 months
Morphology: An asymptomatic, solitary, dome-shaped nodule with a central keratin-filled crater.

Squamous cell carcinoma

Age: 85 year
Gender: Male
Site: Lower lip
Duration: > 1 year
Morphology: Asymptomatic, hard, red multinodular mass. Two submental lymph nodes were palpable but no organ metastasis.

Mycosis fungoides (Plaque-stage)

Age: 30 year
Gender: Male
Site: Trunk & Limbs
Duration: 3 years
Morphology: Pruritic reddish-brown well-demarcated indurated plaques variable in sizes and shapes. The lymph nodes, liver, spleen and other organs were not involved.

Kaposi sarcoma

Age: 67 year
Gender: Male
Site: Palm
Duration: 7 months
Morphology: An asymptomatic, large, solitary, violaceous nodular plaque. No lymph node involvement or distant metastasis.

Nodular BCC

Age: 67 year

Gender: Female

Site: Nose

Duration: > 1 year

Morphology: An asymptomatic, skin-colored to translucent, rounded nodule with surface telangectases. 

Basal cell carcinoma

Age: 50 year
Gender: Female
Site: Lower lip
Duration: 1 year
Morphology: A crusted oval ulcer having a slightly pigmented thready margin and easily bleeding tendency.

Leiomyoma

Age: 38 year
Gender: Female
Site: Upper arm
Duration: 1 year
Morphology: Multiple, skin-colored to pinkisk tender papules and nodules that were characteristically painful on cold exposure.

Kaposi sarcoma

Age: 64 years
Gender: Male
Site: Feet
Duration: 8 months
Morphology: Asymptomatic, violaceous-purplish plaques and nodules confined to both lower limbs especially the feet. No lymph node involvement or distant metastasis.

KA with flattened surface.

Age: 20 years
Gender: Male
Site: Eyebrow
Duration: 3 months
Morphology: An asymptomatic, flesh-colored nodule having a flattened surface with central keratin-filled depression.

Noduloulcerative BCC

Age: 78 year
Gender: Male
Site: Upper lip
Duration: 5 years
Morphology: An asymptomatic large rodent ulcer with irregular outline surrounded by slightly pigmented rolled up border. No distant metastasis.

Noduloulcerative BCC

Age: 70 year
Gender: Male
Site: Nose
Duration: 3 years
Morphology: Destructive ulcer that easily bleeds on minor touch with friable granular base and rolled up border. No lymph node involvement or oganomegally.

Acral lentiginous melanoma

Age: 50 year

Gender: Female

Site: Foot side

Duration: > 1 year

Morphology: An asymptomatic, irregularly-shaped, hyperpigmented patch 8 cm in greatest diameter. Most "ABCDE" criteria of malignant melanoma are applicable to this lesion. No lymph node enlargement or distant metastasis.

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).