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Image Number 2446 (Lentigo maligna)

Macule brown

Diagnosis: Lentigo maligna

Site: Cheek

Sex: F

Age: 71


Description: Pigmented macules

Submitted by: Ted Rosen

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Differential Diagnosis


Elderly woman with twopoigmented macules on her cheek. Both were suspicious appearing. Biopsy disclosed more severe atypia and superficial invasion in "B" compared to site "A." Thus, specimen form site "A" was read as lentigo maligna and site "B" was read as lentigo maligna melanoma. Both were surgically excised.

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