![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh-aMCm0RUzZMT__NNd1-ZpD7DthZuxf44WxmdTyQl9IYkYFo1efspjQtmmKEbX06kYtU4EYjGK3NsDn7tAidN9OKbKdwfFEU40YUfTpFagLOVv1yxSIzhHBR2VsT_13I7pTGkW00Sh5A0/s400/BCC1+0.jpg)
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi_WRBfy1_DVd_xIluohCHxusCLFpVfgRRNxe7gjgykITU5Px-iZcZZxviBie-veRuRuF_zELHliMNNCj7FQ5oVx6SJB06NjanVBUHkynb6bOcOtk75hGvmhzgh5Y5FPnHWG57by38fH6I/s400/BCC1+1.jpg)
A 67-year-old woman consulted for this lesion on her back. Dermoscopy revealed blue-gray globules (rectangle) and some arborizing vessels (arrows) confirming easily the diagnosis of basal cell carcinoma.
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEikc0kUxLJ5Ny35_VK29mM426QB_uhCB08BIM2nxIgOmZVFcpE_cxOVS5itL2vkEOkd26QhD8hee8o-v6Q03I7-Mz0K7igpxKqLkIeFULhJ1ghReufozHXDkr9ZwoGL-053NY8ETRqnEHI/s400/BCC1+1b.jpg)
Blue-gray globules are a pathognomonic sign in pigmented basal cell carcinoma.
They are often associate with other basal cell carcinoma specific criteria, as leaf-like structures,
spoke-wheel areas and large blue-gray ovoid nests.