A new melanoma ?

A 30-year-old woman consulted for this black pigmented lesion on her 4th right toe. She mentioned to have tried to remove it with a blade and a needle.

Dermoscopy revealed a black homogeneous pattern.
A melanoma was suspected and lesion was surgically removed for pathology.

Pathology revealed a wart.

This is a quite unusual presentation for a wart.

Wart

Dermoscopy may be sometimes useful to confirm the diagnosis of wart, when it is clinically atypical. In this case, the verruca vulgaris, located on the foot, was pink.
Dermoscopy showed dotted vessels surrounded by a whitish halo