A client had surgery 6 months ago. The incision site is now intact, raised, indurated, and shiny. This is which type of tissue growth?

A. Nevus: A nevus is a benign pigmented skin lesion, commonly called a mole, that results from a proliferation of melanocytes. Nevi are typically flat or slightly raised, uniform in color, and do not result from injury or surgery. They do not appear at sites of prior trauma and are not associated with excessive scar tissue formation. B. Angioma: An angioma is a benign vascular growth composed of blood vessels, such as a cherry angioma or hemangioma. These lesions are usually red to purple, soft, and may blanch with pressure. They are not the result of scar tissue formation and do not appear as raised, indurated, shiny tissue at a prior surgical site. C. Keloid: A keloid is an abnormal proliferation of scar tissue that extends beyond the original wound boundaries. It is raised, firm (indurated), and often shiny, forming months after the initial injury or surgery. Keloids result from excessive collagen deposition during the healing process and can persist long-term, sometimes causing discomfort, itching, or cosmetic concern. D. Melanoma: Melanoma is a malignant tumor of melanocytes characterized by irregular pigmentation, asymmetry, border irregularity, and rapid growth. It is not associated with prior surgical incisions and does not present as a firm, shiny, raised scar-like lesion. Melanoma requires prompt evaluation for malignancy rather than being considered a normal scar formation.