How would you manage these three lesions on the same patient?

In this week's case discussion, submitted by Dr Terry Harvey, we look at three pigmented lesions which are all found during a skin check on a 35-year-old female patient with a history of melanoma.

What do you think of the three dermoscopy images, and what would you do here?

Update

The patient was booked for excision of all three lesions. However, she emailed the practice to cancel the excision appointment the day before the appointment and did not respond to any follow-up calls.

What are our responsibilities when patients cancel or refuse recommended treatments?

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