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Chapter 43. Malignant Melanoma of the Head and Neck
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Which of the following is not a risk factor for the development of head and neck melanoma?
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A. Fitzpatrick type I skin type
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B. Ultraviolet A exposure from tanning booths
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C. Presence of multiple nevi on the cheeks
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D. Four blistering sunburns in the teenage years
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Which of the following drugs does not modulate the immune response to melanoma?
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What is the proper margin, if feasible, for a nonulcerated lesion with 1.25-mm depth of invasion?
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You are planning to resect an ulcerated malignant melanoma that has 2.1-mm depth of invasion from the left anterior parietal scalp of a 40-year-old male patient. He has no cervical or parotid lymphadenopathy and no suspicious nodes on imaging. What is the most appropriate next step in management?
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A. Wide local excision with 2-cm margin
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B. Wide local excision with 1-cm margin, elective neck dissection
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C. Wide local excision with 2-cm margin, with sentinel lymph node biopsy
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D. Wide local excision with 2-cm margin, radiation therapy to the draining lymph node basin, including the parotid gland
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A patient presents with a large, left auricular melanoma with three palpable lymph nodes in the left neck. Which of the following is not an appropriate test for distant metastasis?
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D. Evaluation for V600E activation mutation in BRAF