Derm Dx: Growing hyperpigmented lesion on an elderly Hispanic male

An 80-year-old Hispanic male presents for evaluation of a lesion on the right side of his face. The lesion has been slowly increasing in size over the last 2 to 3 years. He is currently on medications to control adult-onset diabetes and hypertension. The patient quit smoking several years ago. Physical examination revealed a hyperpigmented plaque with a slightly indurated ...