Regressing seborrheic keratosis - clinically and dermoscopically mimicking a regressing melanoma

Acta Dermatovenerol Croat. 2007;15(1):24-6.

Abstract

The diagnosis of seborrheic keratosis is a clinical diagnosis. In a certain percentage of cases, differential diagnosis between seborrheic keratosis and malignant melanoma is difficult. We describe a case of regressing seborrheic keratosis simulating malignant melanoma. Clinical, dermoscopic and histopathologic examinations were performed for the occurrence of an asymmetric, irregularly demarcated, irregularly pigmented lesion measuring 1.3 x 1.5 cm on the right part of the abdomen in a 76-year-old male Caucasian. In order not to miss melanoma, the excision and histopathologic examination of the lesion with peppering is essential.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Dermoscopy
  • Diagnosis, Differential
  • Humans
  • Keratosis, Seborrheic / pathology*
  • Male
  • Melanoma / pathology*
  • Skin Neoplasms / pathology*