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Pathology · single question

An amalgam tattoo characteristically presents as:

  1. A flat, smooth, non-exophytic pigmented macule
  2. A rapidly growing exophytic mass
  3. A vesicle that ruptures and ulcerates
  4. A blanching vascular lesion
Show answer and explanation

Correct answer: A. A flat, smooth, non-exophytic pigmented macule

  • A. Correct. An amalgam tattoo is a flat, smooth, blue-gray, non-exophytic and asymptomatic macule from embedded metal particles.
  • B. Incorrect. Rapid exophytic growth suggests neoplasia, not a tattoo.
  • C. Incorrect. Vesicles that rupture suggest viral or immunobullous disease.
  • D. Incorrect. Blanching on pressure indicates a vascular lesion, not embedded metal.

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