Description: Clincial

History:

Lesion present for over 12 months.  Family history of melanoma.

Close up by canon 350 D, ELMswith Fotofinder. at  x70.

Should this be described as an agminate melanoma ?

Lesion was excised and  smaller "satellites" were excised by encircling punch biopsy so each was assessed individually.

Each focus was reported as melanoma  - insitu x3  and invasive x1 . There were no features of in transit type lesions histologically in the "satellites". Each is a small melanoma with different structures.