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The term of verrucous pigmented lesions includes a series of non-melanocytic and melanocytic, benign and malignant lesions. Among these, the most frequent is the seborrheic keratosis, a common epidermal tumor, affecting the sun exposed areas of adult. In this work we present the clinical and dermoscopical aspects of three cases of verrucous pigmented lesions two seborrheic keratoses and one seborrheic keratosis-like melanoma that determined the diagnostic algorithm as well as the therapeutic approach. The above-presented cases underline the importance of dermatoscopy to determine the malignant potential of the papillary verrucous lesion lesions, the final appropriate treatment being possible after the histopathologic confirmation.

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