SEER Training Modules
Case #3
History
31-year-old female with lesion present on right shoulder for one year.
Physical Exam
Dysplastic nevus present on right shoulder. No lymphadenopathy. Remainder of physical examination was negative.
Imaging
12/10/04
Chest x-ray: within normal limits
Laboratory
12/10/04
CBC, Differential and LDH were within normal limits.
Surgical Observations
12/11/04
Excisional biopsy of lesion, right shoulder
12/19/04
Wide excision with 1 cm margins
Pathological Report
12/11/04
Right shoulder blade nevus: Malignant melanoma, lesion measuring 5 mm in diameter, microinvasive, extending to a depth of approximately 0.38 mm, Clark's Level II Lesion extends to the edges of the specimen.
12/19/04
Wide excision specimen, skin right shoulder: There is no sign of neoplasm in the wide excision specimen.
