Question

A 52-year-old fair-skinned man presents with a 7 mm irregularly pigmented lesion on his upper back with asymmetry, border irregularity and colour variation. It has grown rapidly over 6 months. What is the most appropriate next step?

Accepted Answer

Immediate excisional biopsy with narrow margins (2 mm)

Answer

Reassure and review in 12 months

Answer

Shave biopsy in the GP clinic

Answer

Cryotherapy with liquid nitrogen

Answer

Topical corticosteroid trial

Practice question

A 52-year-old fair-skinned man presents with a 7 mm irregularly pigmented lesion on his upper back with asymmetry, border irregularity and colour variation. It has grown rapidly over 6 months. What is the most appropriate next step?