a 60 year old caucasian female presented to your office with a suspicious mole on her left scapular region she indicated that her daughter had noticed the

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  1. What is your diagnosis?Justify your diagnosis by relating it to specific signs presented for this patient.
  2. What is the ABCD rule and how does it relate to the appearance of this mole?
  3. What is the significance of the size of the mole?
  4. Describe the structure of the skin, including the epidermal layers, and the dermis.
  5. What is a melanocyte? What is its function?
  6. What is the significance of finding atypical melanocytes in all epidermal layers and in the papillary dermis?
  7. What histological finding suggests that this is not a basal cell or squamous cell carcinoma?
  8. Is there any significance to the history of severe sunburns and this disease? Explain.
  9. Is there any significance to the history of melanoma in the family? Explain.
  10. How would you follow this patient over the next several years?

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