75 y/o Caucasian male being seen for his yearly physical. | Figure 1

75 y/o Caucasian male being seen for his yearly physical. Only Hx is HTN, HLD, prostate and Colon cancer. No Hx (or family Hx) of skin cancer known. Noted this area on his upper back that is rough in texture, irregular border and what appears to be two different colors of brown to center. I am a new Adult NP and lack experience with Derm cases. Would love some feedback if I should refer this guy or just have him watch it?

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28 y/o male with family hx of skin cancer presented to the ED anxious about lesions on his back and side. Patient stated he has an appointment with dermatology in two weeks but couldn't wait. All the ED doc told the patient was that he couldn't do anything about it and to make sure he made it to his appointment. Discharged with the dx of possible malignancy of the skin. Do these look malignant to anyone else?

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