AOBPa Pathology Practice Questions - AOBPa Pathology Certifying Examination Exam

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A skin biopsy shows a melanocytic lesion with Breslow thickness 2.3 mm, ulceration, and 4 mitoses/mm^2. What is the most appropriate next step in management based on these findings?

Observation alone — risk is very low Wide local excision with 1 cm margin only Wide local excision with consideration of sentinel lymph node biopsy Mohs micrographic surgery is the gold standard

Correct Answer:

Wide local excision with consideration of sentinel lymph node biopsy

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