
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.