On examination, 7 slightly elevated, smooth-surfaced, well-defined, darkly pigmented lesions were found in a linear distribution in the periauricular area above and behind the right ear in the area supplied by the lesser occipital nerve. The diameter of the lesions ranged from 2 to 8 mm. One of the lesions was surrounded by 3 tiny (diameter, <1 mm) satellite lesions (Figure 1). All lesions were excised and histopathologically examined. All lesions showed similar histopathological features and were symmetrical, well-demarcated, and wedge-shaped with the apex in the subcutaneous fat. The lesions consisted of melanocytes with oval monomorphous nuclei and abundant pale cytoplasm containing dusty particles of melanin. Although most of the melanocytes had monomorphous nuclei, some had large pleomorphic nuclei, as seen in the Spitz nevus. Low-grade cytological atypia consisting of variation in nuclear size, shape, and hyperchromasia were observed. Mitotic figures were not present. The melanocytes were mainly arranged in nests and fascicles throughout the lesions. The melanocytes were present between the collagen bundles and around the hair follicles, sweat glands, blood vessels, and nerves. Some nests of melanocytes were also seen at the dermoepidermal junction. Numerous pigment-laden macrophages were evident, especially in the deeper part of the lesions. In addition, perivascular lymphocytic infiltrate was present. No fibrosis was observed. The histopathological features were consistent with compound DPN (Figure 2). Histopathological examination findings of the tiny satellite lesions showed a few nests of melanocytes with oval monomorphous nuclei in the upper dermis. Some of these nests were present around the blood vessels.