Diagnosis: Melanoma
Description: Lymphocytes in the dermis walling off abnormal nests
Clinical Features: Macule black
Pathology/Site Features: Nevus cells dermis
Sex: M
Age: 93
Submitted By: Ian McColl
Differential Diagnosis
History:
Dermatoscopic signs of melanoma are sometimes missing in small melanomas.
Histologically the scalp is regarded as a special area.
Certain features of malignancy may be over interpreted.
However this patient is 93 years old and the lesion is new.