What should you tell the patient about the solar lentigines

Answer: Widespread solar lentigines are the result of chronic sun exposure, and generally are not treated. The patient should be warned about a small increased lifetime risk of melanoma, and should be counseled regarding sun avoidance, protective clothing, and use of sunscreen. Monthly self-examination based on the ABCD (Asymmetry, irregular Borders, variegated Coloration, large Diameter) system should be advised along with yearly office follow-up and immediate follow-up for a changing lesion.

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