How would you manage this pigmented lesion on the shoulder?
A 60-year-old male with a history of in situ melanoma presents with concerns that this pigmented lesion on his shoulder is growing. What are your thoughts?

HealthCert Education
This week's case discussion, submitted by Dr Terry Harvey, features a 60-year-old male patient with a history of an in situ melanoma many years prior, but no other skin cancers.
He is concerned, as he has noticed that this pigmented lesion on his anterior shoulder is growing. What do you think of the dermoscopy image?
Please leave your comments today and check back for the outcome on Wednesday from 2pm.
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