The Skin
Last updated
(19 November 2003)
Good Stuff
Spot Diagnosis
Skin
Click on the image to download a larger version
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.
The answer
What the student may say
Small print
Adrian P. Ireland