A 68-year-old man with a pigmented lesion on the sternal area.
Dermoscopy revealed many a non melanocytic lesion, many milia-like cysts, some crypts and papillary structures, in favor of a seborrheic keratosis.
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"