A 50-Year-Old Lady Visits the Office to Have a Mole

A 50-year-old lady visits the office to have a mole on her back evaluated. The mole has been there for some years, but her daughter is concerned that it has recently expanded in size. The patient has no significant medical issues, however he was sunburned frequently as a youngster. The picture below depicts a dermoscopic inspection of the lesion. The lesion has multiple color variations, including dark brown, pink, red, and whitish areas.  Excisional biopsy of the lesion is performed.  The whitish areas (arrows) seen on histologic examination most likely represent which of the following underlying processes?

A) Intense inflammation
B) Melanocyte regression
C) Proliferating, neoplastic melanocytes
D) Proliferating, nonneoplastic melanocytes
E) Vessel ectasia

Correct Answer:

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