A 3-year-old girl presents with a 5-cm by 7-cm hyper-pigmented patch containing 3 dark, circular, well-defined papules on her left buttocks. Her parents claim that the lesion was present at birth, but that it has grown in size and changed in pattern and colour over the past 2 years. She is otherwise healthy and not taking any medications.
The most likely diagnosis is
-
Nevomelanocytic nevus
-
Lentigo
-
Café au lait spot
-
Malignant melanoma
-
Speckled lentiginous nevus
Answer onpage 1364
- Copyright© the College of Family Physicians of Canada