Description: Clinical view shows variegate plaque with superior nodule. Note dermoscopy view is of the more darkly pigmented right portion of lesion

History: 80 year old man, lesion noted at examination for shoulder pain. Histology reported as; Severely atypical, predominantly junctional naevus with areas amounting to Clark level 1 melanoma(Superficial Spreading type),with a tiny focus of early level 2 melanoma.0.3 mm thick.