The Skin

Last updated (19 November 2003)

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The excision with 2 cm margins again confirms the findings of melanoma on punch biopsy. The Breslow thickness is 7 mm and Clarkes level is five.
How should the regional nodes be managed?
Bloc dissection of the left supraclavicular nodes.
Bloc dissection of the left axiallary nodes.
MRI or PET scanning with FNA or excisional biopsy followed by block dissection if they are suspicious.
Sentinal node biopsy at the time of excsion of the primary tumor.
Careful clinical follow up.

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Adrian P. Ireland