Approach to skin and soft tissue lesions Quiz: Ace Your Exams
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A 67-year-old man presents to his primary care physician's office for evaluation of a dark brown skin lesion on his left upper extremity as seen in the image below. He states that he has had this lesion for several years, but his partner thought that it appeared different and suggested that he have it evaluated. The patient has a significant history of sun exposure. He was a swimmer and lifeguard throughout his childhood and into his young adulthood. He rarely used sunscreen and had several bad burns in his youth. He has a history of basal cell carcinoma on his face that was removed. His only medication is lisinopril for high blood pressure. Vital signs are within normal limits. Which of the following physical examination findings would prompt a further diagnostic evaluation of this lesion?
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