A 55-year-old woman presents to the clinic with a changing mole on her back. The mole has increased in size, has an irregular border, and shows multiple colors. The patient reports that it has been itchy and occasionally bleeds. MCQ: What is the most appropriate next step in management? A) Topical corticosteroids B) Referral to a dermatologist for excisional biopsy C) Cryotherapy D) Observation for six months Answer: B) Referral to a dermatologist for excisional biopsy Explanation: Given the concerning features of the mole (irregular border, multiple colors, and changes), a referral to a dermatologist for a thorough evaluation and possible excisional biopsy is warranted to rule out melanoma. Overview: Malignant melanoma is a potentially life-threatening skin cancer. Early referral to a specialist for assessment and biopsy is critical for timely diagnosis and management.
