Question of the Week

November 4, 2020

A 44-year old male police officer presents in consultation for surgical excision of a primary malignant melanoma, 0.7mm in Breslow’s depth of the right upper back. No ulceration, mitosis or lymphovascular invasion was noted by the pathologist. He would like to have a wide local excision. What is your next step?

  • Proceed by measuring a 0.5-cm margin around the visible tumor as the surgical margin.
  • Proceed by measuring a 1-cm margin around the visible tumor as the surgical margin.
  • Proceed by measuring a 2-cm margin around the visible tumor as the surgical margin.
  • Proceed by measuring a 4-cm margin around the visible tumor as the surgical margin.


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