Changing Pigmented Lesion Under Left Breast in 33-Year-Old Female

Case at a Glance

A 33-year-old Canadian woman presented with concerns about a changing pigmented lesion under her left breast that had been evolving over a 5-month period.

Patient's Story

The patient first noticed the lesion approximately 5 months prior to presentation. She reported that it had been gradually increasing in size and changing shape over time. She was able to document the changes with photographs taken 2 months apart, showing progression from a lesion with surrounding dry skin to its current appearance. The location was described as directly under the left breast. The patient expressed concern about the changing characteristics and was seeking medical guidance regarding urgency of evaluation.

Initial Assessment

Patient presented with a history of a changing pigmented lesion with documented photographic evidence of morphological changes over a 2-month period. The lesion was located in the inframammary area on the left side. Patient demonstrated appropriate awareness of concerning changes in pigmented lesions and sought timely medical consultation.

The Diagnostic Journey

Clinical evaluation focused on assessment of the pigmented lesion using standard dermatological examination principles. The documented changes in size and morphology over the observed time period required careful evaluation to determine the nature of the lesion and appropriate management approach.

Final Diagnosis

Based on clinical assessment, the lesion was determined to have characteristics consistent with a benign pigmented lesion with low probability of malignancy.

Treatment Plan

Conservative management with continued observation was recommended. Patient education was provided regarding warning signs that would warrant immediate medical attention. Regular dermatological surveillance was advised to monitor for any further changes.

Outcome and Follow-up

The patient was reassured that the lesion appeared to have benign characteristics based on clinical assessment. A follow-up plan was established for routine monitoring, with instructions to return immediately if any concerning changes were noted.