case_images: PMC9904512_01
case_images: Nodular melanoma of the upper left back. It was ulcerated, with a diameter of at least 2 mm, Breslow thickness at least 4.9 mm, Clark level at least IV, mitotic rate 7 per mm2, and microstaging pT4b.
case_images: cureus-0015-00000033511-i01.jpg
case_images: PMC9904512_01_cureus-0015-00000033511-i01.jpg
case_images: FIG1
case_images: He was referred to the dermatology department with a one-month history of a bleeding exophytic lesion on his upper left back (Figure 1).
case_images: Lentigo maligna/early invasive melanoma of the right retroauricular region. It had a Breslow thickness of 0.2 mm; the arrow points to the melanoma.
case_images: cureus-0015-00000033511-i02.jpg
case_images: PMC9904512_01_cureus-0015-00000033511-i02.jpg
case_images: FIG2
case_images: TSE revealed two further highly suspicious pigmented lesions in the right retroauricular region (Figure 2) and on the left arm (Figure 3).
case_images: Melanoma of the left arm, in situ
case_images: cureus-0015-00000033511-i03.jpg
case_images: PMC9904512_01_cureus-0015-00000033511-i03.jpg
case_images: FIG3
case_images: TSE revealed two further highly suspicious pigmented lesions in the right retroauricular region (Figure 2) and on the left arm (Figure 3).