Question 1

What is the initial approach when obtaining a biopsy of a potential malignant melanoma lesion?&#10;A) Excisional biopsy&#10;B) Punch biopsy&#10;C) Shave biopsy&#10;D) Wide excision

Accepted Answer

Excisional biopsy is the preferred initial approach for the diagnosis of a potential malignant melanoma, as it allows for the examination of the entire lesion and its margins, which is crucial for accurate staging and treatment planning.

Question 2

During a total body skin examination for skin cancer, the provider notes a raised, shiny, slightly pigmented lesion on the patient's nose. What will the provider do?&#10;A) Consult with a dermatologist about possible melanoma.&#10;B) Reassure the patient that this is a benign lesion.&#10;C) Refer the patient for possible electrodessication and curettage.&#10;D) Tell the patient this is likely a squamous cell carcinoma.

Accepted Answer

A raised, shiny, pigmented lesion on the nose is concerning for a possible basal cell carcinoma. Electrodessication and curettage is a common treatment option for this type of skin cancer. Referring the patient for this procedure is necessary to remove the lesion and prevent further spread. While a consultation with a dermatologist may be necessary, it is not the first step in management. Reassuring the patient that the lesion is benign or telling them it is likely a squamous cell carcinoma would be inappropriate without further diagnostic testing.

Deck 38: Screening for Skin Cancer