Dermoscopic-Pathologic Correlation in an Unusual Case of Pigmented Basal Cell Carcinoma

According to a two-step procedure, the diagnosis of basal cell carcinoma (BCC) is based on the absence of melanocytic criteria (i.e., pigment network, dots/globules, cobblestone pattern, homogeneous blue pigmentation, streaks, and/or parallel pattern) and the presence of the following specific features: large gray-blue ovoid nests, spoke wheel areas, multiple gray-blue globules, leaflike areas, ulceration, and arborizing ‘‘treelike’’ telangiectasias, which allow correct diagnosis with high confidence. We report a case of pigmented BCC showing, besides the ‘‘classic’’ dermoscopic features of BCC, a pigment network and discuss the underlying histopathologic correlate of this unusual finding.