Medical-Surgical Nursing 8th Edition by Donna Ignatavicius , Linda Workman

Exercise 3

A 55-year-old woman who has blonde hair, very light skin, and blue eyes is being seen because she noticed the recent development several light-brown, flat, irregularly shaped spots on her face just below and in front of her right ear. Although these spots do not extend into the surrounding skin, she is concerned about their appearance on her otherwise flawless complexion and is worried that they may be skin cancer. When asked about her sun exposure, she tells you that her only sun exposure is when she plays golf (4 times per week) and that she uses sunscreen on her arms, legs, and neck. She also says she wears a hat with a front brim while playing golf. When you ask about facial skin protection, she tells you that because she wears makeup, she does not use sunscreen on her face.
Do the facial lesions have any concerning features? If so, which ones?