Case discussion: How would you treat this patient? [14 June]
Case submitted by Dr David Smith
A 65 year old female patient presents with a large pigmented lesion on the heel. She gives a history of it being present for years but she has noticed that it had recently grown. 20 x 10 mm
First of all, let’s consider the question: Is this benign or suspicious” Assume the patient is reliable, and she does say it has been there for years. There is also a history of recent change.
Assuming we all agree that this lesion is suspicious, clinically, what are the features on dermoscopy that help you become even more confident that this is a suspicious lesion?
How would you biopsy this lesion?
Please share your thoughts in the comment section below. Professor David Wilkinson will provide his opinion and advice.