Facharzt FMH Dermatologie Und Venerologie Practice Questions - Facharzt FMH Für Dermatologie Und Venerologie Spécialiste FMH En Dermatologie Et Vénéréologie Exam

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A 58-year-old male presents with a pigmented lesion on his upper back that has changed in size and color over the past 6 months. Dermoscopy reveals an asymmetric multicomponent pattern with atypical pigment network, irregular brown-black globules, and blue-white veil. An excisional biopsy is performed with 2 mm clinical margins. Histopathology confirms an invasive Superficial Spreading Melanoma with a Breslow thickness of 1.6 mm, presence of ulceration, and 2 mitoses/mm². According to current SGDV / EORTC / AJCC (8th edition) guidelines, what is the mandatory next step in surgical management?

Re-excision with a 1 cm radial surgical safety margin down to deep fascia and concurrent Sentinel Lymph Node Biopsy (SLNB) Re-excision with a 3 cm radial surgical safety margin and immediate radical elective regional lymph node dissection Immediate initiation of adjuvant therapy with oral dabrafenib and trametinib without further surgery Narrow re-excision with a 0.5 cm margin and clinical ultrasound monitoring every 3 months

Correct Answer:

Re-excision with a 1 cm radial surgical safety margin down to deep fascia and concurrent Sentinel Lymph Node Biopsy (SLNB)

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