How would you treat this lesion on the side of the foot?

In this week's case discussion, we revisit a case from Dr Slavko Doslo. This 41-year-old female patient presented for a skin check, and this lonely lesion was identified on her foot. She returned 10 months later and the lesion was photographed again.

What do you think? What would you do next?

Original presentation:

10 months later:

Update

 

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