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SURGICAL ONCOLOGY
Case #1 -
A 32 year old with a lesion on her lower R leg

DISCUSSION QUESTIONS:
1.) What is the differential diagnosis of this lesion?  Answer 
2.) What additional history do you need?  Answer 
3.) What physical findings should you look for?  Answer 
4.) How can you clinically differentiate a benign nevus from a malignant melanoma?  Answer 
5.) What are the four types of malignant melanoma and the characteristics of each?  Answer 
6.) What is most important pathologically in the primary tumor? How can the depth of invasion be defined?  Answer 
7.) What is the main prognostic indicator in malignant melanoma?  Answer 
8.) What is the surgical management in this patient?  Answer 
9.) What adjuvant therapy may be used in malignant melanoma and when is it indicated?  Answer 
 
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