![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi9w9tdqOUgFQGVAKxFqXC5kp76yn8-EMa4YNVLgjfKEyQNNqJUt8txKbFB_zaQ1i4aeoF7Oaim_0XIX-6_3OS_EkA7Erh6bLlpe_Rai1AJ04EwBEe4K_kT7G5nprT4GXLB1f1c43VV0fs/s400/KSML.jpg)
A 68-year-old man with a pigmented lesion on the sternal area.
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgKmBNvnUTHVsYY5Zl0ha2p7P9CEqgkyEX97i7SjV0RBLwV8WbsA3Nxr21NBOeXTqn6H7I9aoML53zrwNUw8GxExU3JM4I0cfPgrTxuJqdFHLdCP9q3fWun-30trF-ooyHtMt50RTbIQRE/s400/KSML2.jpg)
Dermoscopy revealed many a non melanocytic lesion, many milia-like cysts, some crypts and papillary structures, in favor of a seborrheic keratosis.
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiEwIQf1uIX5hvs4FUQwPQMlXt93lUSDYLOJjXIiHjpRYddH-hKGQbOHeLob5XAj-lugsSLp6Bvmpo6HK3xuKmHeqjz4e0gRGMnR7nnIIyKqiCpNq-qo0kt9BFY385wtJ4KrG5AKW-dAAU/s400/KSML3.jpg)
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgiQFYbixmoKkQT_jY7VvUON4m4tAy2DjxWTER8dFsUO8Ca2LlNwWszplR_al0XjdHje91IE3q7jizScmlYxNGkOPW1eWTMQj_jsbkkYiMCgdO_cBdQhyphenhyphen3G-tMFfBaPIxsMN_GhgkCRAnw/s400/KSML2B.jpg)
In the picture above exophytic papillary structures are well seen (Rectangle)
Milia-like cysts are found in seborrheic keratoses. Nevertheless, they can be present in papillomatous dermal , congenital nevi and melanomas.
Milia-like cysts are often described as "stars in the sky"
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiEwIQf1uIX5hvs4FUQwPQMlXt93lUSDYLOJjXIiHjpRYddH-hKGQbOHeLob5XAj-lugsSLp6Bvmpo6HK3xuKmHeqjz4e0gRGMnR7nnIIyKqiCpNq-qo0kt9BFY385wtJ4KrG5AKW-dAAU/s400/KSML3.jpg)