A 68-year-old man presents with a black nodule on his right arm, which he noticed a few months ago
A 68-year-old man presents with a black nodule on his right arm, which he noticed a few months ago. It has grown rapidly and occasionally bleeds (see image below).

Black nodule on right arm
What diagnosis needs to be excluded and what is the next best investigation?
Select the SINGLE most appropriate option from the list below. Select ONE option only.
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