Case #1

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Expand Physical Exam


Upon routine skin exam, dime-sized brownish-black lesion found on skin of right cheek. Patient reports recent changes in color, which is uneven in distribution. Patient also states that lesion itches. No palpable lymph nodes.

Expand Laboratory


Labwork within normal limits.

Expand Imaging


CXR: Negative.

Expand Surgical Observations


Wide excision of right cheek and reconstructive closure of open wound.

Expand Pathological Reports


Brownish-black skin specimen from excision, 1.2 cm in size. Non-invasive melanoma, Clark's Level I. Basement membrane of epidermis is intact. No ulceration present. Margins clear, but within 3 mm of lateral edge. 1 sentinel node removed; negative.

Expand Treatment


Surgery: Excision of right cheek lesion and sentinel lymph node biopsy