Atypical melanocytes of an Atypical Spitz Tumor observed with Optical Super-High Magnification Dermoscopy

A 64-year-old woman presented with a 6-mm pigmented lesion on her thigh. Dermatoscopy revealed the “starburst” dermatoscopic pattern of a spitzoid tumor. Before excision, the lesion was examined under × 400 magnification dermoscopy using the videoscope Fotofinder Medicam 1000 (Fotofinder System, Bad Birnbach, Germany) and in-vivo Reflectance Confocal Microscopy (RCM) (Vivascope 1500®, MAVIG GmbH, Munich, Germany).