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Wednesday 6 August 2008

Superficial spreading melanoma

A 66-year-old man consulted for a pigmented lesion on his left scapular area.

Dermoscopy revealed a multi-component pattern, asymmetry, and multiple colours (tan, dark brown, black, blue gray, white).
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.

All these dermoscopic signs were in favor of a superficial spreading melanoma.