Melanoma

Chapter 12 of Volume 3, Skin, Burns & Surgical Principles. Revision notes and examiner-style viva questions with model answers for the FRCS (Plast).

11 viva questions in this chapter

1. A 54-year-old is referred with a changing pigmented lesion on the back. How do you approach this?
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2. The histology comes back. What are you looking for, and how do you stage it?
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3. The lesion is a 2.5 mm melanoma, not ulcerated. What margin do you take?
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4. Would you offer this patient a sentinel node biopsy? How would you consent them for it?
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5. The sentinel node is positive. Do you complete the dissection?
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6. A patient has a 3 cm palpable axillary node, biopsy-proven melanoma, and a resected 3 mm primary. What now?
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7. Who do you refer to oncology, and what will they be offered?
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8. The patient develops six subcutaneous nodules on the calf between the primary scar and the groin.
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9. What will the oncologist offer a patient with stage IV melanoma, and what do you need to know as the surgeon?
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10. A 78-year-old has a 4 cm irregular pigmented macule on the cheek. Biopsy shows lentigo maligna.
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11. How would you follow this patient up?
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