![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhvz3KNs2ye3OjJ776R8nrz2Gr_qLY2yMgdLZk-MsmegwmtXYxQnmkRpAipNA4kaFv-SuqIO0RIwNuLjQkgek7T-xpVj32pEPpCNngRnfZOXaZpvBPVdOJRUyaYxaLUhLN9lOoIE97UYfI/s400/M+S+MM+A.jpg)
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg-Xty7abc5lDNvnStSJqyjfo3RD4Mos4Uwzs553zPbimEZIGhFtoN-I-sU6zqakkE7y7Xaydr0cyprJL-_2uskJXjOifrqd1XvQ1sargrT9QvJkRTREegLsp8VvsneWWyxYzYAZjJWEMI/s400/M+S+MM++B.jpg)
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiD2WTknOxAujCt_PJGHZ95UKxSPe08OQeHbXwcM-tydJVvLszlOmaVajR6L86yH9YifVt0mAXrfm95AlQJVjozZZLl3JxNYPj2O1lwnNwk7ASCv6uNT5FDJPM7TEdGg5WCnpG-bWBDi40/s400/M+S+MM+C.jpg)
A 55-year-old woman consulted for this pigmented lesion on her forehead.
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh-FyvjXbmzTsyXs81VqT1HM7uk8N4s6kebWVGyeJZI5N-tYgIKBELgF8yVXCecwza6BaQzLzUm7AS7rrsMZabtUB2izCgJeY-_8qfJpiDC90QlCLH1qxy0g-kP7AqJ-chk6lysB78UD8o/s400/M+S+MM+E.jpg)
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjK_yChHT1kfW6fovkKxQT00Bab0dcKGT07EL3mDXNT0l2OOZ3HOqoH-jJ8odX1v0QJu3W6gL-glRJcjtddRPAsDWDYGoWZycglmj-EkYeEcTlc1TEU-dysvYmDeC6cB9GtsQY-M1YajCg/s400/M+S+MM+D.jpg)
Dermoscopy revealed:
This lesion was present for 3 years and had progressively changed of colour.
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh-FyvjXbmzTsyXs81VqT1HM7uk8N4s6kebWVGyeJZI5N-tYgIKBELgF8yVXCecwza6BaQzLzUm7AS7rrsMZabtUB2izCgJeY-_8qfJpiDC90QlCLH1qxy0g-kP7AqJ-chk6lysB78UD8o/s400/M+S+MM+E.jpg)
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjK_yChHT1kfW6fovkKxQT00Bab0dcKGT07EL3mDXNT0l2OOZ3HOqoH-jJ8odX1v0QJu3W6gL-glRJcjtddRPAsDWDYGoWZycglmj-EkYeEcTlc1TEU-dysvYmDeC6cB9GtsQY-M1YajCg/s400/M+S+MM+D.jpg)
- multiple colours
- an atypical reticular network (white square)
- regression areas: depigmentation and blue grey dots (yellow square)
- irregular blotches (white circle)
- follicular plugs (red arrow)
This lesion was excised and pathology revealed a superficial spreading melanoma with a Breslow Index at 0.24mm.