A 46-year-old fair-skinned man presents with a new pigmented lesion on his upper back that is asymmetric with irregular borders, colour variation and ...

Question

A 46-year-old fair-skinned man presents with a new pigmented lesion on his upper back that is asymmetric with irregular borders, colour variation and 8 mm in diameter. What is the most appropriate initial management?

Accepted Answer

Complete excision biopsy with 2 mm margins

Answer

Punch biopsy of the darkest part of the lesion

Answer

Shave excision of the upper half of the lesion

Answer

Wide local excision with 2 cm margins without prior histology

Answer

Observation with review in 6 months

au-racgp MCQ (SBA): Melanoma initial management

A 46-year-old fair-skinned man presents with a new pigmented lesion on his upper back that is asymmetric with irregular borders, colour variation and 8 mm in diameter. What is the most appropriate initial management?