Melanoma

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A 23-year-old Siberian female patient presented with a changing lesion on her abdomen. The patient stated the lesion was present for about two years and it started off from within a freckle, which started to grow larger and somewhat darken in appearance. It had the clinical appearance of a melanoma and the dermoscopy three-point checklist (designed to allow non-experts not to miss detection of melanomas) was used to determine whether this had a high likelihood of malignancy. It included: Asymmetry: asymmetry of colour and structure in one or two perpendicular axes Atypical network: pigment network with irregular holes and thick lines Blue-white structures: there was some evidence of blue- white veil and regression structures

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