An irregular pigmented lesion on the back
نویسندگان
چکیده
An 87-year-old woman with a history of multiple basal cell carcinomas presented to a follow-up visit referring a pigmented, slowly growing lesion on her right scapula that had been present for one year. Physical examination revealed an irregular 12 x 5 mm well circumscribed pigmented lesion with an elevated keratotic surface (Figure 1). The dermoscopic evaluation revealed a multicomponent pattern: many colors, superior irregular pigmented network with blue-white veil and inferior cerebriform pattern surrounded by atypical pigmented network with sharp demarcation (Figure 2). The patient underwent complete exeresis of the lesion and the specimen was stained with hematoxylin-eosin. Histopathological examination showed a papillomatous epidermal hyperplasia with hyperkeratosis and cell nests in the dermoepidermal junction (Figure 3) and proliferation of atypical intraepidermal melanocytes with a pagetoid spread (Figure 4). What is your diagnosis? An irregular pigmented lesion on the back
منابع مشابه
Acquired hyperpigmented lesion on the foot
case: A 3.5-year-old girl presented with a 1-year history of a slow growing pigmented lesion on the dorsal aspect of her right foot. Physical examination revealed the presence of a pigmented patch with color distribution from pink to tan to dark brown, relatively well circumscribed and approximately 1.5 × 2cm with irregular borders, and especially a single dark central papule superimposed...
متن کاملPigmented Bowens disease mimicking malignant Melanoma: A case report
Pigmented Bowens disease is an in situ squamous cell carcinoma, which is seldom reported in white patients. Herein we report a 20-year-old woman with type III skin, who had this lesion on the fourth finger of her right hand, similar to superficial malignant melanoma, clinically. Although dermoscopic evaluation could be helpful, correct diagnosis of non-melanotic origin is done by histological e...
متن کاملDermoscopy of Pigmented Bowen's Disease Mimicking Early Superficial Spreading Melanoma
A 89-year-old Japanese woman presented at our clinic because of a several months' history of an asymptomatic gradually enlarging pigmented skin lesion on the dorsum of the left foot. Physical examination revealed a single hyperpigmented oval macule of 5 mm with a rough surface. The color of the lesion was dark brown to light brown. Dermoscopic examination demonstrated atypical pigment network w...
متن کاملHyperkeratotic Plaque over the Ankle
© 2017 Indian Dermatology Online Journal | Published by Wolters Kluwer Medknow A 7‐year‐old boy presented with a pigmented and itchy lesion over the right lateral malleolus. The lesion appeared during infancy and had shown slow and progressive growth to attain the present size. The child reported occasional bleeding from the pigmented surface following minor trauma. On examination, a solitary d...
متن کاملDermatoscopy: A multicolored lesion on the forehead
A 48-year-old man presented with a two-year-history of a slowly growing pigmented lesion on his forehead. Dermatological examination revealed an irregular, multi-colored papule with a diameter of 25 x 26 mm (Figure 1). Dermatoscopic examination disclosed blue-gray globules, leaf-like structures and structureless areas (Figures 2, 3). Dermatoscopy: A multicolored lesion on the forehead Engin Şenel1
متن کامل