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Examination revealed 2 pink macules approximately 2 cm in diameter with sharp edges, located in the right dorsal and central lumbar areas (Figure 1). Polarized light dermoscopy of the upper macule revealed red-milky areas, punctiform vessels, irregular linear vessels, and a small area with negative pigment network with graybrown spots (Figure 2). Similar examination of the lumbar lesion revealed shiny, whitish blotches over a whitish-pink background, shiny white streaks or chrysalis, and a number of fine, short, and isolated telangiectasias (Figure 3). Both lesions were excised. A histological diagnosis of superficial melanoma with a 0.3 mm Breslow thickness was reached for the upper lesion, and a diagnosis of superficial basal cell carcinoma (BCC) was made for the lumbar lesion. Clinically, both lesions appeared to be very similar and required dermoscopy for diagnoses to be reached. In such nonpigmented lesions, the morphology and distribution of the vasculature can offer diagnostic clues [1]. Punctiform or pinhead vessels are characteristic of melanoma Challenging clinical diagnosis of 2 lesions on the back: dermoscopy gives the clue