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Melanoma excision follow-up — USMLE Step 3 MCQ

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ModerateSurgery (post-operative, follow-up)Melanoma excision follow-upUSMLE Step 3

A 52-year-old man returns after wide local excision of a 0.7-mm superficial spreading melanoma without ulceration. Margins are clear and sentinel node biopsy was not performed. Skin examination shows no suspicious lesions. Which of the following would you recommend at the follow-up visit?

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Correct answer: C — Schedule regular full-skin examinations and counsel sun protection

Thin melanoma after complete excision requires ongoing skin surveillance and prevention counselling; systemic therapy is not indicated for low-risk localized disease.

Reference: NCCN melanoma guidance: https://www.nccn.org/