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1. Compare labelled and Clark’s levels. Which is better to use?
2. What skin margins do you excise for a:
1-mm melanoma, 2-mm melanoma, 3-mm melanoma, Hutchinson
freckle, in-situ melanoma? How did the 5-cm rule originate?
3. What are the most significant prognostic
indicators to affect the outcome of melanoma? Are BANS, acrolentiginous,
and pregnant patients really worse off?
4. What is the five- and ten-year survival of
the various stages of melanoma?
5. When you do a wide excision, must fascia
be removed? What is Sappey's line?
6. Should you do an elective lymph node dissection
for a: 1-mm melanoma, 3-mm melanoma, 5-mm melanoma?
7. You biopsy a lymph node and it is melanoma.
You cannot find the primary - what do you do? What is the outcome
of these patients?
Answer...
8. Does regional perfusion work for melanoma?
How about chemotherapy and RT? Discuss interferon. (PRS 1997;
99:1023)
Answer...
9. Your patient has a single palpable lymph
node in the groin after wide resection of a melanoma in the past.
Metastatic workup is negative. Should you do a superficial or deep
node dissection? (PRS 1991; 88:810 Archives of Surgery 1989;
124:162)
Answer...
10. Your post-op melanoma patient has a single
lung met on CT. What should you do? What about a single liver
met? Or what if there were palpable nodes in their axilla and supraclavicular
areas with a negative metastatic workup?
11. Does an incisional biopsy spread melanoma
cells?
12. Do gallium scans and labeled monoclonal
antibody scans work better than CT's for metastatic work-up?
13. How is a sentinel node done? Is it
really representative of the entire nodal basin? How is the pathology
done on a sentinel node?
14. A five-year-old child comes to you who has
a 12 x 12-cm hairy nevus. What are the chances that he will get melanoma?
What if the child’s hairy nevus is 4 x 6 cm? When and how should
these nevi be removed?
15. What is dysplastic nevus syndrome?
What is the BK mole syndrome? Is melanoma familial?