Case of the Month! by Dr. Kevin Brenner
78 year old male who presents from his dermatologist with a pigmented lesion of the left cheek which has been increasing in size over the past few months. The patient’s dermatologist performed a shave biopsy which revealed malignant melanoma in-situ, lentigo maligna type.
What is the best option for further management at this point?
A. Close monitoring with skin examinations every 6 months.
B. Punch biopsy of the central core of the lesion.
C. Excision of the entire pigmented lesion.
D. Wide local excision with 0.5cm margins.
E. Wide local excision with 2.0cm margins.