How would you manage this lesion arising at site of previous excision?

This week, we look at a case submitted by Dr David Stewart, in which a 46-year-old female patient presents with concerns about a lesion on her lower back, near a scar from a lesion excised at another practice many years ago.

Dr Stewart is unable to track down the pathology report from that previous excision. This new lesion was not present at the patient's last skin check 12 months ago.

What do you think of it?

Update

Here is the pathology result.

Australia’s premier skin cancer education event returns in 2025 with NEW presenters and a NEW program! Join us for this exclusive opportunity to sharpen your diagnostic acumen and build your procedural toolkit, with teachings from the world’s foremost experts sharing their vast knowledge, latest breakthroughs, real patient cases, and more.

	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.