How would you treat this pigmented lesion on the leg?

This week we revisit an interesting case from Dr Saad Raheem Abed in Iraq at the Alhussain Teaching Hospital. This 30-year-old male patient has been watching this pigmented lesion on his leg over the last 2 years. His wife prompted him to consult his GP.

What do you think of it? What would you do next?

Update

The pathology report returned showing malignant melanoma, Breslow thickness 1.4mm, Clark level III, with ulceration and mitoses greater than 5 per mm². How would you manage this patient?

Learn more about the diagnosis of skin lesions with the HealthCert Professional Diploma program in Dermoscopy - online skin lesion training tailored for GPs, delivered with the International Dermoscopy Society.