![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiUI0xTUV0WtxIzwn9U047c90EFs3W0u7MyfQ1e_E2tPIMKvucHJaKGJ07WyPv7-__MpVkUBoYr5dVuok9WTyH3461hRMcsyyLsGZXBASb8Tf9zNqMtQ5Sls9KD3uc45aKccftKwjIg1WE/s400/TETE+1.jpg)
A 72-year-old man consulted for a rapidly growing black nodule on his scalp. (the scar is due to an operation 3 years before for a Bowen's disease).
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhV7vXALuhPE_QFhumfT9GVxVDumB83Kc-FGAV0ENamAyJMtaBWl6eNROl1kasMqvXMMvlWynIleuV9L1F-Nq2V4isVG7Le0QvHZRODvNVqTruNAvxA_VaBHYUVfxLUzIBLHsH3DoBR_AE/s400/TETE+2.jpg)
Dermoscopy revealed a dark
blotch. At the border, a
blue white veil is present.
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjnsrvbmMCWjjcedjJ_RuDwTnMVZ78qO8Oc8lqigZBTnmkheVfIRK-W5XjkHuPcW8x7ApJjoZbmjo8kEisjWHApPTuOlRSCSBONgN8hUDPkcgh-GBo9-hbD_WBFazEEy9sS98E-ZbRojcg/s400/TETE+3.jpg)
This lesion was excised and pathology revealed a
nodular melanoma (Breslow index 2 mm)