A 62-year-old woman notices a new, asymmetrical pigmented lesion on her calf that has recently enlarged and become irregular in shape and colour. On e...

Question

A 62-year-old woman notices a new, asymmetrical pigmented lesion on her calf that has recently enlarged and become irregular in shape and colour. On examination the lesion is 9 mm in diameter with irregular borders and varying pigmentation. What is the most appropriate management?

Accepted Answer

Urgent two-week wait referral to dermatology/plastics for suspected melanoma

Answer

Reassure and review in 6 months

Answer

Cryotherapy in primary care

Answer

Treat with topical steroid and review

Answer

Routine referral to dermatology within 18 weeks

uk-plab-1 MCQ (SBA): Suspected malignant melanoma

A 62-year-old woman notices a new, asymmetrical pigmented lesion on her calf that has recently enlarged and become irregular in shape and colour. On examination the lesion is 9 mm in diameter with irregular borders and varying pigmentation. What is the most appropriate management?