Description: Pigment dots and grey circles

History:

A pigmented lesion on the cheek that has slowly been increasing in size over several years. Male aged 65. Smooth surface.

Dermatoscopy shows pigment dots and pigment around follicles as grey circles. PRAME and Sox 10 showed atypical melanocytes along the DEJ extending into and down follicles with localised upward pagetoid spread. Early Lentigo maligna / Superficial intraepidermal melanoma.