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As the melanoma advances inversion occurs vertically and a dark papule
may develop. Note also the notch on the right lower side of the lesion
and the surrounding sun damage. |
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Two black nodules are apparent in this invading melanoma. There is a
grey area between them which represents regression of part of the lesion.
This South African presented with two melanomas.
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This melanoma has invaded throughout its surface causing thickening
or plaque formation, rather than discrete papules or nodules.
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There is a nodule within the plaque. The Breslow thickness was 7.5mm,
an unusually late presentation in a young man, on the front of his chest.
He developed an axillary node metastasis within 4 months.
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