A 58-year-old farmer presents with a 7 mm pigmented lesion on his upper back that has recently changed in shape and colour. Dermatoscopy is suspicious...

Question

A 58-year-old farmer presents with a 7 mm pigmented lesion on his upper back that has recently changed in shape and colour. Dermatoscopy is suspicious for melanoma. According to Australian melanoma guidelines, what is the preferred initial diagnostic approach?

Accepted Answer

Excisional biopsy with narrow (1-3 mm) margins

Answer

Shave biopsy of the most pigmented portion

Answer

Wide local excision with 2 cm margins

Answer

Punch biopsy of part of the lesion only

Answer

Observation and review in 6 months

au-amc MCQ (SBA): Suspected melanoma

A 58-year-old farmer presents with a 7 mm pigmented lesion on his upper back that has recently changed in shape and colour. Dermatoscopy is suspicious for melanoma. According to Australian melanoma guidelines, what is the preferred initial diagnostic approach?