A 62-year-old woman notices a new pigmented lesion on her calf. It is asymmetrical with irregular border, colour variation and diameter of 9 mm. There...

Question

A 62-year-old woman notices a new pigmented lesion on her calf. It is asymmetrical with irregular border, colour variation and diameter of 9 mm. There is recent change in size over 3 months. What is the most appropriate management?

Accepted Answer

Refer urgently via the 2-week-wait suspected cancer pathway to dermatology.

Answer

Reassure and review in 6 months.

Answer

Excise the lesion completely in primary care with wide margins.

Answer

Take a punch biopsy in primary care and await histology.

Answer

Treat with topical steroids and emollients for 4 weeks.

uk-plab-1 MCQ (SBA): Malignant melanoma – suspected

A 62-year-old woman notices a new pigmented lesion on her calf. It is asymmetrical with irregular border, colour variation and diameter of 9 mm. There is recent change in size over 3 months. What is the most appropriate management?