The patient is an 84-year-old woman with a changing mole just above the labia; skin cancer until proven otherwise. The dermatologist biopsied and showed superficial spreading melanoma with a depth of just over one millimeter. What we are going to do today is a wide local excision, at least one-centimeter margins with an elliptical incision. We have to be careful doing that next to the labia so as not to hurt and distort things. And then we are going to do a sentinel lymph node biopsy. She was injected this morning and is showing a hot signal in the left groin. So our plan is wide local excision of the skin and to remove a sentinel lymph node biopsy to prove there's no spread from this melanoma.
Skin Excision for Melanoma by David R. Farley, MD | Case Trailer mayo clinic careers
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The patient is an 84-year-old woman with a changing mole just above the labia; skin cancer until proven otherwise. The dermatologist biopsied and showed superficial spreading melanoma with a depth of just over one millimeter. What we are going to do today is a wide local excision, at least one-centimeter margins with an elliptical incision. We have to be careful doing that next to the labia so as not to hurt and distort things. And then we are going to do a sentinel lymph node biopsy. She was injected this morning and is showing a hot signal in the left groin. So our plan is wide local excision of the skin and to remove a sentinel lymph node biopsy to prove there's no spread from this melanoma.
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