| Good Stuff |
| Spot Diagnosis |
| Skin |
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Click on the image to download a larger version |
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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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