A recently available pale nodule with pseudocysts The diagnosis of pigmented lesions is a daily challenge generally practice. Dermoscopy can offer extra clues, but requires significant knowledge. Case presentation Over a one-month period, an 85-year-old man noted the development of a pale pigmented nodule in a tan-coloured macule that were present for five years on his still left shin. Biopsy of the nodule revealed bed sheets of atypical spindle cells with mitoses within the dermis and scant melanin pigment.Our goal is to discover, develop and successfully marketplace innovative products to take care of sufferers, ease suffering and enhance the standard of living. We are strengthening our medicine-structured portfolio, which is targeted on strategic growth systems in innovation-driven pharmaceuticals, high-quality and low-cost generics, individual vaccines and leading self-medication OTC brands. Novartis may be the only company with leadership positions in these certain areas. In 2006, the Group’s businesses attained net sales of USD 37.0 billion and net income of USD 7.2 billion. Approximately USD 5.4 billion was invested in R&D. Headquartered in Basel, Switzerland, Novartis Group businesses employ a lot more than 100,000 associates and operate in over 140 countries all over the world.