7th September 2020

A 54-year-old lady presents to her general practitioner with a rapidly growing lump on her face

 A 54-year-old lady presents to her general practitioner with a rapidly growing lump on her face. It is pigmented, with an irregular border. It has recently started to itch. She is an avid gardener and spends most of her time outdoors but reports not using sunblock. She has many other similar lumps on her face, neck and limbs, but those have been asymptomatic.

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