![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj61cirdHZ5MwVwUcrfbt_W1SiazmTNSsS33fUij0zAuuVwP_LxBVNQoYzorvf3SiD7CNbGE7R9KAQQpJ8JiSrVLnxuPHCF9dqHLoOa7nogdCxnLbmxYrfrQZm0kBO-5yzmomaW3_CqSlk/s400/BJ1.jpg)
A 31-year-old man consulted for this pigmented lesion on his right arm.
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjJEWG5btwzkVO5IfDvZ1eKtLcu0ige26FUnSggHXVzVibEWGiZ8029-cQaEBRionGxsFsDXkw9VCodBIh8U5waugeQTJMebi9XRgi_rjZtFYwFN4ip0OF2OY5CSwnBMNZ09SeeBYi3hZM/s400/BJ2.jpg)
Dermoscopy revealed pigmented lesion with the following dermoscopic signs:
- asymmetry of colors and shape
- regression area: depigmentation (black rectangle ) and blue gray dots (peppering) (yellow circle)
- atypical reticular network (brown rectangle)
- pseudopods (red arrow)
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg9jss4ra6-Eiy6YU24H2A9s-9ZVLJ4kpCZIaxCYac_GYpDzM6ELU5fQBBLHaAD8Ne9eZB9k7vN1Z6MlAgcsCLMWzshBKcD6JH1MIODz-qw4hogfLhMrEABcEKAv_HyU1AhF5G4aGQ4Dks/s400/BJ4.jpg)
This lesion was excised and pathology confirmed the diagnosis of superficial spreading melanoma. Breslow index was 0,48 mm.