Two patients have newly resected melanoma and no symptoms: one has stage IIB disease and the other stage IIC. Which staging-imaging distinction

Question

Two patients have newly resected melanoma and no symptoms: one has stage IIB disease and the other stage IIC. Which staging-imaging distinction follows NICE NG14?

Accepted Answer

Consider whole-body and brain contrast CT for stage IIB, but offer it for stage IIC

Answer

Offer contrast-enhanced staging imaging for stage IIB but not for stage IIC after complete excision

Answer

Offer whole-body PET-CT to both stages while omitting dedicated contrast-enhanced brain imaging

Answer

Use clinical surveillance for both stages until symptoms or examination findings suggest distant metastasis

Answer

Use regional nodal ultrasonography alone as the staging investigation for both stage IIB and stage IIC

Melanoma Regression — SCE Medical Oncology MCQ

Two patients have newly resected melanoma and no symptoms: one has stage IIB disease and the other stage IIC. Which staging-imaging distinction follows NICE NG14?