How would you manage this lesion on the anterior arm?

This week's case discussion from Dr Terry Harvey features this lesion on the anterior arm of a 55-year-old with a history of three previous melanomas.

Please review the clinical and dermoscopic images below. What are your thoughts?

Update

This lesion was excised and confirmed as a melanoma in situ.

 

Did you miss Dr Terry Harvey's recent webinar on the golden rules of skin cancer management? Catch up here.

Interested in skin cancer medicine?

	Would you like to obtain advice or share your experience with your colleagues and Dr Terry Harvey in the weekly blog case discussion?  Participate with your cases so that we can learn together! Submit your case here or send details to admin@healthcert.com
Contributing to the Skin Cancer Case Discussion Blog helps meet your annual Performance Review CPD requirement!
Submit your own case* = 1 CPD hour (Performance Review) *Case must be published on the blog to qualify.	Comment/engage with colleagues’ cases  = 0.5 CPD hours (Performance Review)
How to claim your CPD hours If you interact with this case or submit your own case, you can Quick Log your CPD hours with the RACGP via the usual self-submission process. You will be asked to reflect on what you have learned, and you will require proof you interacted with the blog; a screenshot will suffice.