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    9%
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    8%
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PANCE® is a registered trademark of the National Commission on Certification of Physician Assistants (NCCPA). This application is an independent study resource and is not affiliated with, sponsored by, or endorsed by the NCCPA.

For educational use only. Content is AI-generated, may contain errors, and is not medical advice — always verify against current primary sources and faculty guidance before clinical use.

HomeDermatologyMelanoma
🖐️

Melanoma

Dermatology · ~4% of blueprint
🔬Pathophysiology
Malignant transformation of melanocytes (UV exposure a major risk); can metastasize early.
🩺Signs & Symptoms
Pigmented lesion with ABCDE features — Asymmetry, Border irregularity, Color variation, Diameter >6 mm, Evolving.
🎯Gold Standard Diagnosis
Full-thickness excisional biopsy; Breslow depth is the key prognostic factor.
💊First-line Treatment
Wide local excision (margins by depth); sentinel node biopsy / immunotherapy for advanced disease.
High-Yield Pearl

Breslow depth drives prognosis; use the ABCDEs to flag suspicious lesions for excisional biopsy.

Sources

Reviewed September 2026
  1. Melanoma clinical guideline (highlights of Guidelines of care for the management of primary cutaneous melanoma, 2019) — American Academy of Dermatology, 2026
  2. StatPearls: Cutaneous Malignant Melanoma: Guideline-Based Management and Interprofessional Collaboration (AAD/NCCN/ESMO/CCA summary) — StatPearls Publishing, 2026
  3. StatPearls: Malignant Melanoma — StatPearls Publishing, 2026

Checked against the guideline or standard reference the exam keys to. If it has moved, use Report an error below.

More Dermatology conditions

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  • Psoriasis
All Dermatology