How would you manage this lesion on the thigh?

In this week's case discussion, we revisit a case submitted by Dr Randa Al-Hajali, in which a 62-year-old male patient presents with a lesion on his left thigh.

The patient states the spot started like an insect bite but recently became more lumpy. There is no clinical image, but the lesion appears red and firm, and part of it looks like a scar.

What do you make of the dermoscopy? What would you do next?

Update

Here is the pathology result.

Learn more with the HealthCert Professional Diploma program in Skin Cancer Medicine - online or with optional practical workshops.

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