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Image Number 118 (Melanoma)

Macule black

Diagnosis: Melanoma

Site: Scalp

Sex: M

Age: 52

Type: Clinical

Description: Note the change in colour of this papular pink nevus.

Submitted by: Ian McColl

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Differential Diagnosis


These images show various presentations of melanoma on the scalp.It is always important to examine the scalp carefully when doing a skin examination.The first image shows a melanoma developing in a pink nevus.It was spotted by the patient's wife when she was cutting his hair.It was 2mm thick which is significantly thick for a melanoma.

The other examples are larger but thinner and paradoxically are less serious ie they are less likely to have spread elsewhere.The thickness of a melanoma is what really determines how serious it is rather than the size.

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