hairpin vessels in a seborrhoeic keratosis
This lesion presented as a 18 by 12 mm scaly plaque on the trunk.
The plain view shows well organised keratin plates with a fissure between them. This is pretty typical of a seborrhoiec keratosis
The lesion was too large to photograph in one piece. 2 dermoscopic images of edges are shown.
we see surface keratin and radial looped/hairpin vessels, very clear examples.
Its a seborrhoiec keratosis. You can see radial hairpin vessels in a squamous cell cancer, but that would be a faster growing lesion with a nodular rather than a plaque configuration.