
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.