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Naevus Monitoring — SCE Dermatology MCQ

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HardSkin CancerNaevus MonitoringSCE Dermatology

A clinically atypical melanocytic lesion assessed in secondary care does not currently meet the threshold for excision. Under the NICE melanoma pathway, what surveillance strategy is appropriate?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Baseline dermoscopic photography and review at 3 months

NICE recommends baseline photography, preferably dermoscopic, and comparison at 3 months for an atypical melanocytic lesion that does not require immediate excision. A longer initial interval risks delaying recognition of early melanoma-related change.

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