Case 4 48 Year old woman feels this lesion on the medial side of her left toe is new. It appeared 6 months ago and is enarging. (There are no hairs arising from this lesion as appears in the macro shot)
Question: What would you do with this lesion? Consider Monitor in 3 months, Reasure her and review next year, Perform excision biopsy
Question: Which of these impacts most on your management? Consider The clinical history of change leads me to excision, The dermoscopy image reasures me it is benign, The dermoscopy image leads me to excision and The clinical history reasures me it is benign.
Question: Your diagnosis is...