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Patient presents with bluish-black lesion on skin of right neck which patient reports is changing in size and color. No cervical lymph node enlargement.
Laboratory work within normal limits.
Shave biopsy, skin right side neck: may represent superficially spreading melanoma, however, difficulty evaluating because lesion was not completely excised. Re-excision highly recommended.
Excisional biopsy, skin right neck. Large surgical margins.
Right cervical lymph node dissection.
Shave biopsy results inconclusive; recommend repeat excision biopsy with at least 1 cm surgical margins.
Excisional biopsy: malignant superficial spreading melanoma, Breslow's thickness 0.4 mm; Clark's level II; surgical margins are approximately 8.5 mm and are free of residual tumor.
Right cervical lymph node excision: 0 of 10 nodes positive.
Excisional biopsy right neck lesion and right cervical lymph node excision