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Malignant Melanoma is the most severe form of skin cancer and is identified by:

  1. many open and closed comedones

  2. black or dark patches on the skin, usually uneven in texture, jagged, or raised

  3. open sores, reddish patches

  4. red or pink scaly papules or nodules

The correct answer is: black or dark patches on the skin, usually uneven in texture, jagged, or raised

Malignant Melanoma is a type of cancer that develops in melanocytes, the cells that produce melanin. This results in the appearance of black or dark patches on the skin, which are usually uneven in texture, jagged, or raised. A and C are incorrect options because they describe symptoms that are commonly associated with acne or psoriasis, not skin cancer. D is also incorrect as it describes symptoms commonly seen in basal cell or squamous cell carcinoma, not Melanoma. Therefore, the most accurate answer is B.