Alex Anne Brown, PA-C

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United States
Bradenton, FL
Alex Anne Brown, PA-C

To request a skin exam with me, click https://nextpatient.co/p/2921/30289/appointments

How many more lives can you save?

Dermoscopy allows for more accurate diagnosis of sub-clinical melanoma and non-melanoma skin cancers.

08/26/2025

Guess what! I’m back 💕 After 1 year of medical leave, I am back to doing what I love - finding cancers, caring for parents, and educating others. What posts do you want to see first?! 😍

10/06/2023

Happy Friday, everyone! Figured I’d ask here first 😊 I’m looking for co-authors to assist with research articles and textbook chapters. Hoping to get everything published in 2024. If you’re interested, comment below or DM me 🫶🏻

09/22/2023

How often are you overlooking aggressive melanomas? The scalp is a crucial part of a skin exam and must be examined in every patient.

Scalp melanomas have the highest mortality rates (compared to melanomas on other body sites). These lesions are tricky because they can manifest dermoscopic features of both facial and body melanomas.

Shown here is a 0.2mm melanoma in a 50 yo male with prior history of non-melanoma skin cancer. This lesion was biopsied due to regression structures (gray granularity) and a bland but atypical network.

Please don’t overlook this area on your patients 😳

09/19/2023

Where’s the melanoma? 🚩

Shown here is an evolving melanoma in-situ in a 67 yo with no prior history.

Even the small lesions deserve dermoscopy! What questions do you have?

I’ve missed you all! Im finally started to feel better after a several month hiatus. Thank you to everyone who has checked on me 💕

06/14/2023

Comment what you would like to see more of on my account. All suggestions welcome 🙂

In the meantime, what structures do you see here?

02/07/2023

Where’s the invasive melanoma? ☠️

If you see polymorphous vasculature and shiny white structures, think melanoma! 🚩

Shown here is a 0.4mm BD, vertical, T1a melanoma in a 70 yo M with no prior history

02/01/2023

How often do you skip over the ears during your skin exam? Hopefully never 🚩🚩

Shown here is a 0.75mm (at least) BD. Lesion was present at the base. Final thickness TBD

There are 4 stages in the progression of facial melanomas. It often starts as grey dots that accumulate around the hair follicle until they form angulated lines and rhomboidal structures. Late stage melanoma on the face will show homogenous brown areas that obliterate the hair follicles

01/18/2023

How do you differentiate a regressing SK from a regressing melanoma?

Regression that starts in the center and expands outwards is more concerning for melanoma 🚩

When a lentigo/SK involutes, it usually regresses from the outer edge towards the center (centripetally). You can usually see remnants of these benign lesions at the opposite edge.

As a reminder, there are 2 types of regression structures: scar-like depigmentation (fibrosis) and granularity (melanin). Both structures are shown in this example. Granularity is accentuated with non-polarized dermoscopy (3rd photo)

Melanoma in-situ in a 49 yo male with no prior history of skin cancer

01/09/2023

Where is the melanoma? 🚩

Dermoscopic examination of ALL skin lesions is the only way to identify melanoma that clinically appears benign

One of the most common dermoscopic presentations of melanoma in-situ (MIS) is a flat, reticular lesion with subtle atypical network as in this example

Shown here is a MIS in a 66 yo F with history of non-melanoma skin cancer.

Look closely and catch them early ✔️

01/06/2023

Don’t overlook melanomas on your high risk patients. On chronically sun-damaged skin, these melanomas can be subtle 😅

Melanomas on sun-damaged skin will often manifest one of the following features:
• Patchy peripheral islands of pigment or structureless areas
• Grey dots/granularity (regression)
• Angulated lines (see Nov 8 post for example)

Shown here is a 0.3 mm BD melanoma in a 68 yo F with no prior history

01/01/2023

Please don’t treat melanoma with liquid nitrogen 🥴 If you don’t use dermoscopy prior to LN2, you could be inappropriately freezing a melanoma

I’ve seen it too many times to count

Shown here is a 0.2mm BD T1a melanoma in a 65 yo F with no prior history

Address

5301 4th Avenue Circle E
Bradenton, FL

Telephone

+19417612900

Website

http://www.dermoscopyislit.com/

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