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Site: Neck nape
Diagnosis: Seborrhoeic keratosis
Sex: M
Age: 82
Type: Heine
Submitted By: Ian McColl
Description: Seborrhoeic keratosis with vascular spaces
History:
This lesion clinically looked like a melanoma to me. The dermatoscopy showed clods of various dark colours and also background vessel proliferation. It was suggestive of a seborrhoeic keratosis but the clotted blood like clods I had not seen before. The lesion was deep shaved.
The histology should a seborrhoeic keratosis with vascular spaces.