International Journal of Clinical & Medical Images

A 14-year-old girl presented to the surgical consultation room with brown skin lesion over the right scapula which enlarged in size and became deeper in color over the last year. There were no symptoms associated with this lesion and No similar case in the family. On examination, she was asthenic girl in the III stage of puberty (Tanner classification). Under the right breast, she had a nipple and areola with a small part of glandular tissue. A plastic surgery was proposed to the patient. The mother being not consenting, she refused the surgery (Figure 1).