Site Misclassification of Melanomas in the Shoulder Region: An Issue Not to Be "Shrugged At"?

missure showed that it was a mucous cyst of the vulvar vestibule. Dermoscopy can also play a major role at this site, once the typical dermoscopic parameters for pigmented vulvar lesions are defined. 2 Comment. Our case is particularly interesting because it reveals peculiar dermoscopic parameters (Figure 2). The histopathological correlate of such peculiar dermoscopicfeaturesmightbethesclerosisobservedunderthe tumor as well as the epidermal hyperkeratosis present above the lesion, not observed in the perilesional mucosa. These dermoscopic parameters, not found in vulvar melanosis (the most frequent simulator of melanoma in this site), could therefore be reliably used for differential diagnosis. 2