Description: Clinical image. Note the BCC, biopsy of which was the reason for the visit. The very small (3 x 1 mm) lentigo maligna, marked with the white arrow was a new finding at this visit and had not been observed 3 weeks earlier

History: This 62 year old man had attended 3 weeks earlier for a skin check and I had identified a suspected BCC and scheduled a biopsy. He attended for that biopsy and this pigmented lesion was noted. I had not seen it 3 weeks earlier and I suspect it must have become much more evident over that period of 3 weeks. Shave biopsy was reported as lentigo maligna and the lesion was subsequently re-excised with greater than 5 mm margins.