Question

A 27-year-old woman presents with a changing pigmented lesion on her upper back. She reports that it has become larger and darker over 6 months. On examination, the lesion is 9 mm in diameter, asymmetrical, with irregular borders and colour variegation. Which is the most appropriate next step?

Accepted Answer

Excisional biopsy with narrow margins

Answer

Reassure and review in 1 year

Answer

Shave biopsy in the clinic

Answer

Cryotherapy

Answer

Topical corticosteroid trial

Practice question

A 27-year-old woman presents with a changing pigmented lesion on her upper back. She reports that it has become larger and darker over 6 months. On examination, the lesion is 9 mm in diameter, asymmetrical, with irregular borders and colour variegation. Which is the most appropriate next step?