A whitish lesion

A 48-year-old woman consulted for a whitish scar-like lesion on her back.  

Clinical picture: whitish scar-like lesion with a pigmented border. Patient has a background of former heavy sun exposure.

At dermoscopy:

• no signs in favor of a melanocytic lesion
• a structureless  scar-like white pattern
• pinkish areas without any vascular structures
• a peripheral pigmentation (red square) in favor of leaf-like areas

Pathology revealed a superficial basal cell carcinoma

Basal cell carcinomas

A 75-year-old patient consulted for 3 lésions on her face and a lesion on her back with superficial ulcerations.

Dermoscopy 1: ulcerations, leaf-like areas

Dermoscopy 2: leaf-like areas, arborizing vessels, blue ovoid nest

Dermoscopy 3: leaf-like areas and arborizing vessels

Dermoscopy 4: leaf-like areas

All these lesions were superficial basal cell carcinomas

Basal cell carcinoma

A 72-year-old woman consulted for this pigmented lesion on the left side of her nose.

Dermoscopy revealed a non melanocytic tumor with:

• large blue ovoïd nest
• arborizing vessels (in the blue ovoïd nest)
• blue gray globules
• leaf-like areas

in favor of a basal cell carcinoma.

leaf-like structures

Other cases of basal cell carcinomas: 

1 2 3 4 5 6 7 8 9  10 11 12 13 14 15 16 17 18 19 20 21

Basal cell carcinoma

A 70-year-old woman consulted for a black ulcerated lesion on her left groin.


Dermoscopy displayed:
- absence of pigment network
- ulceration (white arrow)
- large blue gray ovoid nest (double arrow)
- delicate leaf-like areas (white circle)
in favor of a basal cell carcinoma