Overall

Question 1

What are the UF supported indications for adjuvant RT to the regional nodes?

Answer 1

1. Adenopathy 3 cm or greater
2. 4 or more positive nodes
3. Extracapsular extension
4. Recurrent disease treated adjuvantly

Question 2

Clark level I

Answer 2

epidermis

Question 3

Clark level II

Answer 3

papillary dermis

Question 4

Clark level III

Answer 4

papillary-reticular interface

Question 5

Clark level IV

Answer 5

recticular dermis

Question 6

Clark level V

Answer 6

Subcutaneous tissue

Question 7

Breslow depth breakdown

Answer 7

5 mm

Question 8

False negative rate after a negative SNBx

Answer 8

2%

Question 9

The ABCDE of melanoma

Answer 9

A: asymetry
B: border irregularity
C: color changes
D: More than 1/4 inch
E: Evolution with size increase or symptoms like itching

Question 10

FAMMM syndrome

Answer 10

Familial atypical multiple mole melanoma which is a syndrome characterized by a high number of nevi usually 50 or more, a family history of melanoma, and mutations in the CDKN2A gene.

Patients have a increased risk for melanoma.

Question 11

What is considered an atypical nevi?

Answer 11

Benign Moles with irregular borders, asymmetric, color variation, etc.

These moles are also called dysplastic.

Question 12

What are indications for RT to the primary site?

Answer 12

Close or positive margin
Satellitosis
> 4 mm thick
Recurrent disease
PNI

Question 13

T4

Answer 13

Tumor with > 4 mm thick

a) No ulceration
b) Ulceration

Question 14

T3

Answer 14

Tumor that is 2.01 to 4 mm thick

a) No ulceration
b) Ulceration

Question 15

T2

Answer 15

Tumor that is 1.01 to 2 mm thick

a) No ulceration
b) Ulceration

Question 16

T1

Answer 16

Tumor that is 1 mm thick or less

a: no ulceration or mitotic rate