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Acta Derm Venereol 2020; 100: adv00177 This is an open access article under the CC BY-NC license. www.medicaljournals.se/acta Journal Compilation © 2020 Acta Dermato-Venereologica. doi: 10.2340/00015555-3534 An 89-year-old woman was referred to our clinic with ulcerative pigmented nodules on the left side of her chest. She had had a nodule 3 years previously, and the number of nodules gradually increased. The size of the nodule enlarged with ulceration. She had a past medical history of breast cancer of the left breast, which had been treated surgically 4 years previously. She had not received any adjuvant therapies, including chemotherapy and radiation therapy, after the operation. Physical examination revealed multiple pigmented nodules with ulceration on the postoperative scar (Fig. 1a). These were fused to each other and the whole lesion was 4 cm in size. Dermoscopic examination showed dark-brown, leaf-like pigmented areas and ulceration with some dots/globules (Fig. 1b).

Ulcerative Pigmented Nodules on a Postoperative Scar: A Quiz