Dermoscopy

**History of Presenting Complaint** Patient presents with a pigmented lesion on their back that they noticed approximately 6 months ago. It has been slowly enlarging and has recently started to itch. No bleeding or crusting has been noted. The patient denies any prior trauma or infection to the area. No prior similar lesions. --- **Relevant Past History** Patient has a family history of melanoma in their mother. --- **Medications & Allergies** Patient is not currently taking any medications and has no known allergies. --- **Examination Findings** **Site:** Posterior trunk, mid-back. **Size:** 6mm. **Shape:** Irregular. **Border:** Irregular, with some fading. **Colour:** Variegated, with shades of brown and black. **Surface:** Smooth. **Dermoscopic features:** Irregular pigment network, some areas of structureless pigmentation. --- **Assessment / Impression** Suspicious pigmented lesion, concerning for possible melanoma. Requires further investigation. --- **Plan** Discussed the findings and level of concern with the patient. Patient was informed of the need for urgent referral to dermatology for excision and further assessment. Provided safety-net advice, including instructions to return if changes in size, shape, colour, or bleeding occur. Patient was given written information about melanoma and the referral process. --- **Follow-up** Patient will be referred to dermatology for further assessment and excision. Awaiting secondary care outcome. Review timeframe is within 2 weeks.