·¬ΗΡΙηΗψ

Make the Diagnosis: A Blue-Black Facial Nodule -- What's Your Best Guess?

·¬ΗΡΙηΗψ MedicalToday

Presentation

A 64-year-old postal worker visited his doctor about a lesion that he first noticed on his face 2 months prior. On examination, a shiny, eroded, blue-black nodule was seen on his right cheek. Histopathology examination showed aggregates of melanin and melanocytes within sheets of basaloid keratinocytes with peripheral palisading and surrounding clefts within a fibromyxoid stroma containing melanophages.


to use the Differential Builder in VisualDx to help you.

14% a) Blue nevus

16% b) Cutaneous squamous cell carcinoma

43% c) Pigmented basal cell carcinoma

1% d) Superficial basal cell carcinoma

Learnings

Learn more about this diagnosis on the VisualDx site: .

If you are not a VisualDx subscriber, .

VisualDx is a great way to save time and engage your patients at the point of care from your computer or mobile device.


74 Votes