“…However, an increasing corpus of reports suggests the existence of a less frequently encountered subset with an allegedly more "indolent" or "smouldering" clinical course, variable clinical and histological presentations (4)(5)(6)(7)(8)(9)(10)(11)(12) and an overall survival that may range from 2 (4) to more than 15 years (10). Of note, the accurate nature of this "indolent" behaviour appears relatively ambiguous in earlier reports, since it may reflect variable underlying considerations including a less-than-expected clinical aggressiveness, a protracted overall survival (usually estimated since first occurrence of skin lesions) and/or a more favourable response to treatment.…”