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A pink nodule with polymorphous vessels is a dermoscopic finding indicative of melanoma or another malignant neoplasm. However, there were 2 dermoscopic clues in this case unsupportive of melanoma. One was multiple blue-gray globules that were characteristic of basal cell carcinoma but could not be completely differentiated from those of melanoma. The other dermoscopic feature was the clustered yellow globules at the lesion periphery. Yellow, lobular-like structures suggest sebaceous tumors.1 Taken together with the patient's clinical history and dermoscopic findings, the earlier lesion in this case was judged to be nevus sebaceous. Accordingly, basal cell carcinoma was strongly suspected as it was the most frequent malignant neoplasm arising in nevus sebaceous.
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