A 62-year-old man presents with a changing pigmented lesion on his back. It is asymmetrical with irregular border, variegated colour and diameter 8 mm...

Question

A 62-year-old man presents with a changing pigmented lesion on his back. It is asymmetrical with irregular border, variegated colour and diameter 8 mm. There are no palpable lymph nodes. According to Australian melanoma guidelines, what is the most appropriate initial diagnostic procedure?

Accepted Answer

Total excision biopsy with 2 mm clinical margins

Answer

Punch biopsy of the centre of the lesion

Answer

Shave biopsy of the lesion

Answer

Wide local excision with 2 cm margins

Answer

Fine-needle aspiration of the lesion

au-amc MCQ (SBA): Suspicious melanocytic lesion

A 62-year-old man presents with a changing pigmented lesion on his back. It is asymmetrical with irregular border, variegated colour and diameter 8 mm. There are no palpable lymph nodes. According to Australian melanoma guidelines, what is the most appropriate initial diagnostic procedure?