Excellence in Dermatology™
Excellence in Dermatologic Surgery™
Excellence in Medical Dermatology™
Excellence in Dermatopathology™

Evaluation of Pigmented Lesions


A 28-year-old woman presents with a brown mole on her face, which she states has been there for “as long as she can remember.” Based on the image, which of the following is the most likely diagnosis?


A 36-year-old fair-skinned man presents to your office for a total body skin exam. He has always had moles, which have begun to concern him because of all the recent news about melanoma and skin cancer. On exam, you note that the patient has about 20 moles on his back, all of which share a variegated coloration, irregular and poorly-defined borders, asymmetry, and size greater than 6 mm. Based on this description, which aspect of these lesions makes them LESS LIKELY to be melanoma?


Your patient is a 35-year-old woman with a history of BCC who would like more information about sun protection. What patient education would you provide?

4.*Which of the following is most concerning for melanoma and should be biopsied?
5.*An 86 year-old man with no prior history of skin cancer presents with a 5mm round light and darker brown macule on his left anterior deltoid that has a hypopigmented / white center and asymmetry of pigmentation. He’s not sure how long it has been present. He has many seborrheic keratoses on his body. Which of the following do you recommend?
6.*Which of the following is the best way to find a melanoma in a 38 year-old half Irish/half Chinese male patient with moderate sun damage, lentigines, and nevi, but no personal or family history of melanoma?

I would recommend this module to a peer or student:


The online modules increased your ability to visually recognize skin disease:


Please use the space below to provide us with feedback about strengths of this module.


Please use the space below to share any opportunities for improvement for this module.