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Wednesday 4 June 2014

Regression




A 48-year-old woman presented this pigmented lesion on her back. 



 1: clinical picture

 2: dermoscopic picture

3: dermoscopic picture

  4:  dermoscopic picture



Dermoscopy revealed:
  • regression areas with some depigmentation (green arrows and ovoid area)
  • blue gray structures (blue arrows) and blue gray dots (peppering)
  • linear irregular vessels (black arrows)



Lesion was excised and pathology revealed a regressive superficial spreading melanoma with Breslow index at  0,39 mm