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Tuesday, 13 July 2010

Lost among black benign lesions....


A 72-year-old patient consulted for many pigmented lesions on his back. Most of them were seborrheic keratoses...........

............except this one.

Dermoscopy revealed:
  • a multi- colored pattern
  • a sharp demarcation
  • an atypical reticular network
  • a blue white veil
This lesion was excised and pathology revealed a superficial spreading melanoma (Breslow index 0.72mm) developed on a melanocytic nevus