Arborizing Vessels in Dermatoscopy: A Case of Nodular Basal Cell Carcinoma

Clinical Image

Austin J Dermatolog. 2015;2(1): 1035.

Arborizing Vessels in Dermatoscopy: A Case of Nodular Basal Cell Carcinoma

Manoj Kumar Agarwala* and Dincy Peter CV

Department of Dermatology, Christian Medical College, India

*Corresponding author: Manoj Kumar Agarwala, Department of Dermatology, Christian Medical College, Vellore – 632004, India

Received: March 16, 2015; Accepted: March 21, 2015; Published: February 25, 2015

Keywords

Arborizing vessels; Dermatoscopy; Nodular basal cell carcinoma

Clinical Image

A 51-year-old, female patient, skin phototype IV, presented to the outpatient dermatology clinic for evaluation. She had swelling near the left eye for the past fifteen years with serosanguinous discharge over the last three months. There was gradual increase in the size of the lesion with intermittent pain. Cutaneous examination revealed a 3x2 cm well circumscribed skin tumour with areas of pigmentation, crust and pus discharge. Multiple visible blood vessels and superficial scales were noted on the tumour surface which was firm on palpation.

On dermatoscopy atypical red vessels, branching arborizing vessels and milky red background were seen. Histopathology was consistent with Basal Cell Carcinoma (BCC) of the nodulo-cystic variant. She underwent wide local excision and full thickness skin grafting under general anaesthesia (Figure 1).

Citation: Agarwala MK and Dincy Peter CV. Arborizing Vessels in Dermatoscopy: A Case of Nodular Basal Cell Carcinoma. Austin J Dermatolog. 2015;2(1): 1035. ISSN:2381-9189