![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjN7VDLXGPDZ59Ml3OQ9wgj02zDs3L75BSDji4Egg5Yx-zVaSHiiPmxGBuMQew0H-7n1-EY75_g-1ZTPwc2Q474edS5TCkTiAZvU1BQ046z6dzgKYPXIVZkWPTaTGPMipffQ4LhyphenhyphenHj-4VI/s400/MM1DA.jpg)
A 66-year-old man consulted for a pigmented lesion on his left scapular area.
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEho1Zwg2WHY0ePV-_NNlc22kOqpgYyl66fCI2eng_ImXQWzQS-87T-BhD5Le3nRgFgeWdJZUIIXJ0scNTHuQT2vQ3bEbcXOWRnN5SeCGMKbQJ860ZOg04SUR3wn-jk_uJeb3vLVR3Iychc/s400/MM2DA.jpg)
Dermoscopy revealed a
multi-component pattern, asymmetry, and
multiple colours (tan, dark brown, black, blue gray, white).
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgBwl4p-ICNgKlqI45W9oQ9fjzfRbPsSVzUusxXgtA1ap_W3oGXscFGHgP6yPgDruh9QYmDqLlG6mCXy1osLgWqtDu4UjzLVqbc84nB9BJRJBqRaQP9yW62IB6zdtE71oY3eGyY630_CdY/s400/MM3DA.jpg)
Other signs were an
atypical reticular pattern (irregular holes and thick lines) with a
sharp demarcation, a
blue-white veil and
atypical vessels (irregular linear vessels), a
central
ulceration (crust).
Dots were irregularly distributed.
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgEls3PT7miMzDIzK7JUVSZDsEa2NZjBtVd68Mc71se5sCH1hzqHx9PUwD0jOn216jtdckueqRlRxi5j_q0U8eAdXRw4AqCevPF9U7jk0ALEHCKYUuUr7Nda2TX-bx8iW9jD29OnTrQsdo/s400/MM4DA.jpg)
All these dermoscopic signs were in favor of a
superficial spreading melanoma.