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Tuesday, 24 August 2010

Pigmented breast lesion

A 28-year-old woman consulted for an enlarging pigmented lesion on her left breast.

Dermoscopy revealed:
  • a multi-colored pattern
  • a multicomponent pattern
  • asymmetry in 2 axes
  • an atypical reticular pattern
  • some atypical dots/globules
  • a scar-like depigmentation
  • a blue white veil
Pathology revealed a superficial spreading melanoma with a Breslow index at 0,5mm