A 50-year-old woman presented with a pigmented lesion on her cheek that had been present for 20 years but recently changed. The dermatologist must determine a diagnosis for the pigmented lesion that has a long history but new changes.

1. Pigmented lesion of long evolution which have had recent changes What is you diagnosis? F. Peral Rubio, M.D. Department of Dermatology Hospital Universitario Virgen Macarena Seville, Spain

2. Clinical Case. Pigmented lesion on the cheek. A 50 -years-old women. The patient was referred to us for the assessment of a pigmented lesion on the cheek 20 years previously, which had changed in the last year.

8. Pigmented lesion of long evolution which have had recent changes What is you diagnosis? F. Peral Rubio, M.D. Department of Dermatology Hospital Universitario Virgen Macarena Seville, Spain