Diagnosing a Suspicious Skin Macule

An 81-year-old woman presents with a poorly circumscribed macule with variegated pigmentation. Explore the key diagnosis that must be excluded in such cases.

Lentigo maligna


What is the most important diagnosis to exclude in this 81-year-old woman?

What is the most likely diagnosis?

Lentigo maligna
Basal cell carcinoma
Varicella zoster
Systemic sclerosis
Actinic keratosis

Dermatology, Lentigo maligna, Melanoma, Pigmented Lesion, Skin Cancer

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