Sequential Dermoscopy — SCE Dermatology MCQ
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Correct answer: A — Stability is reassuring for a benign lesion — monitoring can continue at extended intervals or be discontinued if the lesion is morphologically benign
In sequential digital dermoscopy, morphological stability (no change in size, shape, colour, or dermoscopic structures) over 3-12 months is reassuring for a benign melanocytic lesion. Melanoma would be expected to show detectable change over this monitoring interval. Stable lesions can have their monitoring interval extended (e.g., from 3 months to 6-12 months) or monitoring can be discontinued if the overall dermoscopic pattern is clearly benign. The purpose of sequential monitoring is to detect change — the ABSENCE of change is the favourable outcome that supports conservative management. This evidence-based approach reduces unnecessary excisions while maintaining safety through change detection.
Reference: BAD 2016 Dermoscopy