Early diagnosis offers more hope for melanoma
A 40-year-old woman presents to her GP for annual skin examination.
Both her parents have had melanoma.
A lesion is noted on her back, which breaks the pattern of surrounding lesions by virtue of size and irregularity of pigmentation (G4).
Comparison with images from total body photography performed two years earlier confirms new eccentric pigmentation.
Dermatoscopic examination reveals chaos (click to expand image), with asymmetry of both pattern and colour, with the clue to malignancy of grey colour (F12-16 to I14-16).