Are these spots on the face concerning for melanoma or other | Figure 1

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Case Discussion

Are these spots on the face concerning for melanoma or other skin cancers? The largest one seems to be slowly growing larger over time. There are also several more of the smaller spots noted now than on previous exam. Spots are flat, smooth, non-tender, not bleeding... on lower left cheek of 30 year old female with largely unremarkable PMHx. Typical sun exposure in Midwest with better than average use of SPF.