<p>This lesion was reported as becoming a little darker. Based on the history, clinical and dermoscopic examination how are you going to manage this patient?</p>
Dermoscopy - Introduction, Terminology and Structures
A document to help you understand the dermoscopic descriptions used in this blog.
Dermoscopy Algorithm
To help you work through dermoscopic cases.
<p>The pigment network is a little unusual, but needs to be classed as atypical as there are dark thick broken up lines (white circle), along with this are structureless areas (asterisks). In terms of symmetry this is certainly not chaotic but my interpretation is that it is mildly asymmetrical. All in all enough for me to excise the lesion. The diagnosis with a benign melanocytic naevus with sclerotic change. On reflection I would still have excised this lesion.</p>
<p>Images copied with kind permission from South Tees Hospitals NHS Foundation Trust.</p>
