Evaluation of a Newly Raised Pigmented Lesion

Case at a Glance

A 31-year-old Black female presents with concerns about a pigmented lesion that she believes has become raised, prompting evaluation for potential malignancy.

Patient's Story

The patient reports having a pigmented lesion for an extended period but recently noticed that it appears to be raised above the skin surface. She became concerned about this change and sought medical advice regarding whether the lesion requires further evaluation. The patient had not previously paid close attention to the lesion's characteristics.

Initial Assessment

Physical examination revealed a pigmented lesion with raised characteristics. The patient expressed uncertainty about whether this represented a change from the lesion's previous appearance or if she had simply not noticed this feature before. No other concerning symptoms were reported.

The Diagnostic Journey

Given the patient's concern about a potentially changing mole, dermoscopic evaluation was considered. Initial clinical assessment suggested the lesion had a nonspecific appearance that could represent various benign conditions. The differential diagnosis included seborrheic keratosis, dermal nevus, or other benign pigmented lesions.

Final Diagnosis

Benign pigmented lesion, most likely a raised dermal nevus or seborrheic keratosis, with low suspicion for malignancy based on clinical appearance.

Treatment Plan

Patient education was provided regarding normal variations in pigmented lesions. Instructions were given for routine skin self-examination and monitoring for changes in size, color, shape, or texture. No immediate intervention was recommended given the benign appearance.

Outcome and Follow-up

The patient was reassured about the likely benign nature of the lesion. She was advised to continue routine skin surveillance and to seek re-evaluation if any concerning changes develop. Annual dermatologic screening was recommended for ongoing skin health maintenance.