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Melanoma — SCE Dermatology MCQ

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HardSkin CancerMelanomaSCE Dermatology

A completely excised melanoma is 0.9 mm thick, non-ulcerated and has a mitotic index of 3/mm². Examination shows no nodal disease. Which staging discussion is appropriate under current NICE guidance?

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Correct answer: C — Consider sentinel lymph-node biopsy

For melanoma 0.8–1.0 mm thick, NICE advises considering sentinel lymph-node biopsy when ulceration, lymphovascular invasion or a mitotic index of at least 2 is present. It is a staging discussion rather than a therapeutic lymph-node dissection.

Reference: https://www.nice.org.uk/guidance/ng14/chapter/recommendations