Maeve, a 62-year-old widow, presents with an elevated papule that has a pearly appearance with a little crusting on her back above her bra strap. It’s about 8 mm and brown. She states that she didn’t even know it was there until she was wearing a bathing suit recently, and someone at the pool suggested that she have it checked out by a doctor. Since she’s now aware of it, she states that it itches.
What are the different types of benign and malignant skin lesions?
Does this lesion fit the criteria of ABCDE (asymmetry, border irregularity, color, diameter, elevation/evolving) for a melanoma?
What is your initial diagnosis and How will you confirm it?
What is your plan of care?