Thoracic pigmented lesion

Man 52 years old; Acquired pigmented lesion on chest.

Dermoscopy revealed:

• multiple colors
• asymmetry of form and structures
• an atypical network
• a blue white veil
• irregular dots and globules

Pathology revealed a melanoma in situ.

A 32-year-old man consulted for this enlarging pigmented lesion.

Clinical presentation: multiple couleurs, asymmetry

Dermoscopy revealed:

• multiple colors
• irregular dots
• pink structureless area
• irregular blotch
• regression

This lesion was easily diagnosed superficial spreading melanoma.

Pathology revealed a superficial spreading melanoma with a Breslow index at 0.5mm

Forearm lesion

A 59-year-old woman consulted for this pigmented lesion on her right forearm.

Dermoscopy revealed:

• irregular pigmentation
• atypical reticular pattern
• irregular dots / globules
• brown dots
• regressive homogeneous area

in favor of a melanoma.

This lesion was excised and pathology revealed a superficial spreading melanoma with a Breslow index at 0,47mm

What is this lesion on a leg (2nd case) ?

A 71-year old woman consulted for this enlarging multi-colored lesion on her right leg.

Dermoscopy revealed:

• irregular pigmentation
• atypical pigment network
• negative pigment network
• irregularly distributed blotch
• blue-white veil

in favor of a melanoma.

An excision was performed and pathology revealed a superficial spreading melanoma in vertical extension, Clark level IV, and Breslow index at 3,1 mm.