Excision biopsy shows a 1.2-mm non-ulcerated cutaneous melanoma with clear deep margin and no clinical nodal disease. Which definitive local plan is

Question

Excision biopsy shows a 1.2-mm non-ulcerated cutaneous melanoma with clear deep margin and no clinical nodal disease. Which definitive local plan is guideline concordant?

Accepted Answer

Perform wide local excision with a 1- to 2-cm clinical margin and discuss sentinel-node biopsy

Answer

Use a 5-mm margin and omit nodal staging because the lesion is below 2 mm

Answer

Treat with topical imiquimod because the melanoma is thinner than 1.5 mm

Answer

Use a 5-cm margin and complete regional lymph-node dissection in every patient

Answer

Observe the biopsy scar with serial dermoscopy because clear initial histological margins complete treatment for a 1.2-mm melanoma

Melanoma Excision Margins — RACP Adult Medicine MCQ

Excision biopsy shows a 1.2-mm non-ulcerated cutaneous melanoma with clear deep margin and no clinical nodal disease. Which definitive local plan is guideline concordant?