Could wide tattoo delay the early diagnosis of cutaneous melanoma?Dear Editor, Herein, we report a case of a 32-year-old woman, Caucasian, phototype IV, with an insurgence of a single pigmented lesion developed on a wide tattoo in the back. She had done the tattoo about 11 years before the lesion appeared. Clinical examination revealed a 2 × 3 cm, irregular, heterochromatic, pigmented lesion (Figure 1a,b). Dermoscopy examination revealed an asymmetric lesion in structure and colour, showing brown and irregular dots and globules, atypical pigment network and white-blue pattern (Figure 1c,d). No metastasis or distant lesions were observed at clinical output. Histological examination showed the