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Suspected melanoma — RACP Written MCQ

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ModerateDermatology, GeriatricsSuspected melanomaRACP Written

A 49-year-old man has a changing pigmented lesion on his back. Dermoscopy shows asymmetry, atypical network and blue-white veil. The lesion is 9 mm with irregular borders. What is the most appropriate management?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Complete excisional biopsy with narrow margins

A suspicious pigmented lesion should be assessed by complete excisional biopsy with narrow margins where feasible, allowing accurate Breslow thickness measurement if melanoma is present.

Reference: RACP Divisional Written Examination blueprint; Australian Therapeutic Guidelines/AMH principles