Question 6

The wife of a 56-year-old man comments that the 'mole' on the back of her husband's neck has seemed to be much larger than she remembered it 2 months ago. On physical examination it is 1 x 1.2 cm and has irregular pigmentation and irregular borders. The biopsy of this lesion seen here microscopically. Which of the following is the most likely diagnosis?

A)    Actinic keratosis
B)    Dermatofibroma
C)    Hypertrophic scar
D)    Malignant melanoma
E)    Neurofibroma
F)    Verruca vulgaris