Dermoscopic decoding of a pedunculated scalp nevus: A visual guide

A 24-year-old woman presented with a symptomatic, gradually progressive, solitary, and skin-colored growth on her scalp for the past 5 years.This was a pedunculated skin-colored to brownish, soft, verrucous growth of size 4 4 cm over the right parietal region [Figure 1a].Differential diagnosis of nevus sebaceous, trichilemmoma, seborrheic keratosis, non-pigmented basal cell carcinoma, and squamous cell carcinoma were considered.Dermoscopy revealed a polychromatic (white, brown-yellow, and red), homogenous, smooth papillomatous pattern with brownish structureless areas, brownish dots and globules, brown streaks, dilated linear to serpiginous vessels, lacking any pigment network, or atypical vascularity [Figure 1b].The lesion was excised and sent for histopathological examination, which reported dermal nests and cords of