Description: Large gray-blue ovoid nests and leaf like areas.

History:

This 45-year-old woman had a 2 year history of a nodule on the nose. Initially the lesion was slow growing, but over the last 6 months it grew more quickly. The lesion was excised. Pathology revealed a pigmented basal cell carcinoma.

Dermoscopic description: Large gray-blue ovoid nests and leaf like areas.