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Tuesday, 13 October 2009

Facial lesion

A 55-year-old woman consulted for this pigmented lesion on her forehead.
This lesion was present for 3 years and had progressively changed of colour.

Dermoscopy revealed:
  • 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.