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Suspicious pigmented lesion — ABFM Board MCQ

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ModerateDermatologySuspicious pigmented lesionABFM Board

A 33-year-old woman has a 7-mm asymmetric pigmented lesion with irregular border and color variation on her upper back. It has enlarged over 4 months. Which of the following is the most appropriate next step?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: D — Excisional biopsy with narrow margins

Changing asymmetric pigmented lesions with border irregularity and color variation require biopsy for melanoma evaluation. Excisional biopsy with narrow margins is preferred when feasible.

Reference: American Academy of Dermatology Melanoma Guideline