Vulval Melanoma — SCE Medical Oncology MCQ
Instant feedback + full explanation. One question, done properly.
Educational content. Not a substitute for clinical judgement or local policy.
Reveal the answer and explanation
Correct answer: B — Eligible: 2 positive nodes plus a grade 3 primary
Option B is correct: with 1 to 3 positive nodes, grade 3 histology or a primary at least 5 cm meets the TA810 high-risk definition. Option E uses a Ki-67 threshold not required by TA810. Option A is node negative despite grade 3 histology. Option C is also node negative despite its large primary. Option D has positive nodes but neither grade 3 disease nor a tumour at least 5 cm.
Reference: NICE TA810: adjuvant abemaciclib. https://www.nice.org.uk/guidance/ta810/chapter/1-Recommendations