" Sections show a bland intradermal naevus over the top of which has developed a multifocal junctional dysplastic naevus with mild to moderate atypia. Excision appears complete."

Harald Kittler's assessment prior to seeing the histology report was as follows:-

"Pattern: lines reticular
Colors: eccentric hyperpigmentation
Clues: peripheral brown dots are not a clue to melanoma, because they can be found in any growing lesion. There is a possible pseudopod at the SSE, but whenever I say possible and not striking, I do not count it.

Summary: DDX between Melanoma in situ and Clark's nevus cannot be resolved. With regard to the previous history of multiple melanomas, I would not hesitate to excise the lesion."