<p>This lady was noted by a family member to have an odd coloured skin lesion on her back. Clinically there was a lot of background UV damage, the lesion itself had disorganised brown and black colouration, which was of concern. </p>
<p>The lesion is melanocytic as defined by a pigment network, and also grouped brown-black clods.</p>
<p>The lesion is <strong>asymmetrica</strong>l with <strong>irregular clods</strong> in size, shape and colour (white area), and an <strong>eccentric structureless area</strong> (purple circle). Asymmetry plus any of the other aforementioned dermoscopic features is suspicious.</p>
<p>The lesion was excised and diagnosed as a superficial spreading melanoma with a Breslow thickness of 1.1 mm. </p>
<p>Images copied with kind permission of South Tees Foundation Trust.</p>