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A 53-year-old farmer presents to the clinic for evaluation of a pigmented lesion on his arm. He states that he first noticed the lesion last year, but he believes that it has been slowly growing in size. He otherwise does not have any complaints and is generally healthy. Which of the following findings on physical exam would suggest a malignant diagnosis?
Different pigmentation throughout the lesion
Flat lesion with symmetric hyperpigmentation
Hyperpigmented lesion with smooth borders
Symmetrical ovoid lesion
Tenderness to palpation
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A 40-year-old Caucasian female presents to a dermatologist for evaluation of a mole. While the skin lesion has been present since she was young, she has noticed a change in its size and color. She has a significant sun exposure history from working as a lifeguard in high school and college, and a family history of skin cancer - although she is unsure of what kind. As seen in Figure A, the physician notes a 1cm skin lesion on her calf with irregular borders and varied pigmentation. What is the next appropriate course of action?
Observation with serial photographs
Loop electrosurgical excision procedure (LEEP)
A 47-year-old woman comes to her primary care doctor because of a new, pruritic rash. She was gardening in her yard two days ago and now has an eczematous papulovesicular rash on both ankles. You also note a single, 5 mm brown lesion with a slightly raised border on her left thigh. You prescribe a topical corticosteroid for contact dermatitis. Which of the following is the appropriate next step for the thigh lesion?
Simple shave biopsy
Full thickness biopsy