Friday, November 10, 2006

Plaque on temple


49 y WM, with h/o COPD, presents to the office for a routine follow up. Skin exam reveals several waxy, cobbled, tan, warty papules on the chest, back and the right temporal region. He has been asymptomatic has had these lesions for several years. The lesion on the temple is shown in the picture. Which of the following is the most likely diagnosis?

1. Seborrheic keratoses- correct answer
2. Solar lentigo
3. Spreading pigmented actinic keratosis
4. Malignant melanoma
5. Pigmented Basal Cell carcinoma
6. Verruca Vulgaris