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Black Mold Growth in Cryostats Used for Mohs Micrographic Surgery.

Examination of our patient’s histological sections suggest a colonization-type tumor given the adjacent melanoma in situ observed along the dermoepidermal junction and the confinement of melanocytic nests within basal cell carcinoma nests. Furthermore, the melanoma did not penetrate the basement membrane. This suggests that the patient could be treated according to in situmelanomaguidelines rather thanmeasuring the Breslow depth of the basal cell tumor nests in the dermis. However, given the few cases of melanomawithin basal cell carcinomas, some questions remain regarding the truemalignantpotential of these lesions and the extent of the surgical margins and imaging work-up that are necessary.Therefore, close clinical follow-up for patients with these rare tumors is warranted.