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This spot does not stand out during a skin exam. It could be a freckle, sun spot, age spot, or it could be a melanoma. It’s light brown. Blends into the background sun damage. On dermoscopy, you can see the atypical structures that are concerning for melanoma. Diagnosis: melanoma in-situ. If your skin exam doesn’t include dermoscopy, melanomas like this get missed. And every skin exam should have dermoscopy on every pink and pigmented lesions. If this surprised you, it’ll surprise someone you lo
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