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Old 09-29-2014
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Default ck questions

37 yo F presented for evaluation of a mole on her left leg,she has had the mole for 15 years with no recent changes. Examination shows a 0.5 cm slightly raised,round,brown nevus with symmetric borders on anterior aspect of left leg. A 4 mm smooth movable right inguinal lymph node is palpated. Uncle was recently diagnosed with widely metastatic melanoma. Most appropriate next step in diagnosis for her presentation is:

a. observation only
b. biopsy of inguinal lymph node
c. excisional biopsy of nevus with a rim of normal skin
d. incisional biopsy of nevus
e. needle biopsy of nevus
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Old 09-29-2014
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i'd say observe only? as the mole obeys the ABCDE rule. the node is super small (4mm) probably insignificant. i'm not sure. but i'd go with observe only. anyone else with different opinion?
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