A 24-year-old woman presents with a changing pigmented lesion on her upper back. It is asymmetrical, has irregular borders, variegated pigmentation an...

Question

A 24-year-old woman presents with a changing pigmented lesion on her upper back. It is asymmetrical, has irregular borders, variegated pigmentation and measures 8 mm in diameter. There is no clinical evidence of nodal disease. According to Australian melanoma guidelines, what is the most appropriate initial management?

Accepted Answer

Excisional biopsy with narrow (2 mm) clinical margins

Answer

Shave biopsy of the lesion

Answer

Punch biopsy of the most abnormal area

Answer

Observe and review in 3 months

Answer

Cryotherapy

au-racgp MCQ (SBA): Suspected cutaneous melanoma