Basal Cell Carcinoma: An Unusual Localization and a Typical Dermoscopy

Clinical Image Basal cell carcinoma is a frequent disease that can be caused by chronic exposition to UV radiation. Dermoscopy is a very helpful device that can lead to diagnosis. Mr. M.G is 63-years-old man that presents a rough pigmented plaque on the back since more than 5 years. Recently it becomes slightly itchy. Clinically: A 3 cm pigmented oval plaque on the back. On dermoscopy screening maple leaf-like area, spoke wheel areas, blue-gray nests, gray-blue globules, pink white area, digitiform structures seen. We removed the lesion with 5 mm of margin. The histopathology concluded to a nodular basal cell carcinoma with healthy margin. The patient was advised to apply photo protection measures and a follow-up once a year.  Keywords: Pigmented basal cell carcinoma; Diagnosis; Dermoscopy