A 45-year-old fair-skinned man presents with a 7 mm irregularly pigmented lesion on his upper back that has changed in size and colour over 3 months. ...

Question

A 45-year-old fair-skinned man presents with a 7 mm irregularly pigmented lesion on his upper back that has changed in size and colour over 3 months. Dermoscopy suggests suspicious features for melanoma. What is the most appropriate next step?

Accepted Answer

Complete excisional biopsy with 2 mm clinical margins

Answer

Shave biopsy of the most pigmented part of the lesion

Answer

Punch biopsy of the edge of the lesion only

Answer

Cryotherapy to the lesion

Answer

Observe for another 6 months to see if it changes

au-amc MCQ (SBA): Suspected melanoma

A 45-year-old fair-skinned man presents with a 7 mm irregularly pigmented lesion on his upper back that has changed in size and colour over 3 months. Dermoscopy suggests suspicious features for melanoma. What is the most appropriate next step?