Slowly Enlarging Black Nodule Over Back: Not All Black Lesions Are Moles

CLINICAL SCENARIOA 42-year-old housewife without significant comorbidities reported with complaints of a slowly progressive, asymptomatic, black-coloured lesion on her back for 3 years.ere was no history of bleeding, change in colour, or similar lesion over the body.Dermatological examination revealed a well-defined, firm, solitary, black-coloured nodule over the photoexposed area on the right side of the upper back, measuring 1 cm in diameter with a slight central depression [Figure 1].Based on clinical findings, the diagnosis of acquired melanocytic nevus was considered.Since we were reasonably sure about the diagnosis, dermoscopy was not performed.