


A 55-year-old woman consulted for this pigmented lesion on her forehead.


Dermoscopy revealed:
This lesion was present for 3 years and had progressively changed of colour.


- 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.