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Melanoma — SCE Medical Oncology MCQ

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HardMelanoma & SkinMelanomaSCE Medical Oncology

A fit patient has a completely excised, non-ulcerated 1.2 mm cutaneous melanoma with no clinically evident nodes. Which staging discussion is recommended by NICE NG14?

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Correct answer: C — Consider sentinel lymph-node biopsy because Breslow thickness is greater than 1.0 mm

Option C is correct because NICE advises considering sentinel-node biopsy when Breslow thickness is greater than 1.0 mm. Option D wrongly makes ulceration mandatory above that threshold. Option E skips sentinel staging. Option A substitutes routine PET-CT, and option B sets the threshold far too high.

Reference: NICE NG14: sentinel-node biopsy threshold in melanoma. https://www.nice.org.uk/guidance/ng14/chapter/recommendations