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Saturday 10 May 2008

Atypical nevus

A 32-year-old woman consulted for a mole check-up.
Clinical examination revealed the greatest mole localized on her left scapular area.
At dermoscopy, this lesion featured a pink veil, irregular streaks, irregular globules, an atypical reticular pattern, linear irregular vessels.

Irregular globules.

Polymorphous vessels including irregular linear vessels.

Irregular streaks.

Two diagnoses were possible: superficial spreading melanoma or atypical nevus. The patient did not mention any changing in surface or borders.
This lesion was excised and pathology revealed an atypical nevus ( compound) with a slight irritation.