A 55-year-old woman consulted for this pigmented lesion on her forehead.
Dermoscopy revealed:
This lesion was present for 3 years and had progressively changed of colour.
- multiple colours
- an atypical reticular network (white square)
- regression areas: depigmentation and blue grey dots (yellow square)
- irregular blotches (white circle)
- follicular plugs (red arrow)
This lesion was excised and pathology revealed a superficial spreading melanoma with a Breslow Index at 0.24mm.