10th August 2020

A 35-year-old female attends her GP because she is concerned about a lump on her skin

A 35-year-old female attends her GP because she is concerned about a lump on her skin which you examine using a dermatoscope. She explains that it started off as a small spot, which grew over a few weeks, becoming progressively bigger to the point that it started catching in her bra strap and bleeding slightly. Since then she covered the area with a bandage to protect it.

On examination there is a 1cm by 1cm pinkish red pedunculated mass located over the right scapular region, characterised by a smooth circular appearance with no evident crusting or variation in colour.

Which of the following is the most likely diagnosis?

Select the SINGLE most appropriate option from the list below. Select ONE option only.