Melanoma biopsy

Melanoma Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Yazan Daaboul, M.D.; Serge Korjian M.D.

Approach to Patients with Suspected Melanoma

The following algorithm illustrates the approach to patients with suspected melanoma.

Suspicious pigmented lesion

Biopsy

Inadequate

Rebiopsy

Melanoma confirmed

Breslow thickness

Ulceration status

Mitotic rate

Depth and peripheral margin status

Presence of satellitosis

Clark level for lesions ≤ 1 mm

Reassessment with complete physical examination, including neurological exam and lymph node assessment

Staging