This case involves a 62-year-old woman from Seattle who had a keratotic nodule that was being treated using cryotherapy for the course of a year. She never underwent a skin biopsy before or anytime during her treatment. After the treatment period, the patient came back to her dermatologist because she was concerned about a suspicious growth on her back. She complained that the growth was painful and itchy. It was later diagnosed as melanoma. It is alleged that the lesion should have been diagnosed earlier through a biopsy instead being treated with cryotherapy and that would have likely resulted in a better prognosis.