The patient has type III skin. This "new" lesion on the back is an eight mm in diameter hypopigmented papule with an eccentrically placed 2 mm pigmented papule.
The Power of BLINK:
B = not benign
L = Lonely 1 point
I = Irregular pigment 1 point
N = (pt. unaware of lesion)
K = Known Dermatoscopic abnormalities 1 point
Score = 3 (Mandates biopsy)
The patient is scheduled for an excisional biopsy of the back lesion. What are your thoughts at this time?
Biopsy shows this to be Malignant Melanoma
Thickness: 2.80 mm
Margins: signs of regression at ;ateral margin
Mitoses: > 1/ mm squared
Vascular invasion: absent
Precursor lesion absent