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患者女,78岁。左足内踝出现结节伴出血10年余,加重1月。曾以“化脓性肉芽肿”予以冷冻治疗,后皮损大部分消退,出血症状缓解。皮肤科情况:左足内踝下方4.0cm处可见直径0.5cm大圆形淡红色丘疹,表面光滑,伴少量鳞屑,质中,边缘呈环状,皮损中央有鲜血流出,周围可见卫星状大小不等的色素斑点。诊断:黑素瘤。
Female patient, 78 years old. Left foot medial ankle nodules with bleeding more than 10 years, increased in January. Had “” purulent granuloma "to be cryotherapy, after the majority of skin lesions subsided, bleeding symptoms ease. Dermatology: the left foot below the medial malleolus 4.0cm at a diameter of 0.5cm large circular pink papules, the surface smooth, with a small amount of scales, the quality of the edge of the ring, the central lesion has blood flow out around the satellite size can be seen Pigment spots. Diagnosis: Melanoma.