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Saturday 20 February 2016

A whitish lesion

A 48-year-old woman consulted for a whitish scar-like lesion on her back.  

Clinical picture: whitish scar-like lesion with a pigmented border. Patient has a background of former heavy sun exposure.

At dermoscopy:
  • no signs in favor of a melanocytic lesion
  • a structureless  scar-like white pattern
  • pinkish areas without any vascular structures
  • a peripheral pigmentation (red square) in favor of leaf-like areas
Pathology revealed a superficial basal cell carcinoma