Site: Thigh
Diagnosis: Melanoma invasive
Sex: M
Age: 64
Type: Dermlite Non Polarised
Submitted By: Alan Cameron
Description: This lesion shows most dermoscopic criteria for melanoma. More than one pattern, more than one colour. Predominant pattern clods brown and black, with structureless white, lines radial segmental, pseudopods (under Kittler definition). Lines reticular white
History: Progressively enlarging pigmented lesion on thigh. Past history BCCs. Histolgy Reported as: Sections confirm level 3 (vertical growth phase) superficial spreading malignant melanoma. It is non-ulcerated and has a Breslow thickness of approximately 0.7mm. Occasional dermal mitoses are evident. There is evidence of both active and established past regression. No lymphovascular or perineural infiltration is seen. There is an underlying benign naevus present.