Question

A 45-year-old woman presents with a flat, asymmetrical pigmented lesion on her back measuring 10 mm with irregular borders and varying colours. You suspect melanoma. What is the most appropriate initial management?

Accepted Answer

Complete excisional biopsy with 2 mm margins

Answer

Shave biopsy of the most pigmented area

Answer

Punch biopsy of the lesion edge

Answer

Immediate wide local excision with 2 cm margins

Answer

Observation and review in 6 months

Practice question

A 45-year-old woman presents with a flat, asymmetrical pigmented lesion on her back measuring 10 mm with irregular borders and varying colours. You suspect melanoma. What is the most appropriate initial management?