18 Aug Question: CASE STUDY E.N., A 45-year-old White Female With Strawberry Blonde Hair And Blue Eyes, Works At A Garden Center. She Has Come To The Dermatology Clinic Because She Noticed That The Mole On Her Left Shoulder Has Increased In Size And Darkened In Color. What Are The Risk Factors For This? You Assess E.N.’s Mole And Note That It Is 5 Mm X 8 Mm In Diameter, …
CASE STUDY
E.N., A 45-year-old white female with strawberry blonde hair and blue eyes, works at a garden center.
She has come to the dermatology clinic because she noticed that the mole on her left shoulder has increased in size and darkened in color.
- What are the risk factors for this?
You assess E.N.’s mole and note that it is 5 mm x 8 mm in diameter, shaped like a jagged pebble.
She describes the changes she has noticed: the color has changed from brown to black and it has increased in size and feels bumpy.
- What other questions would you ask E.N. regarding her mole?
- How would you document assessment of the mole utilizing the ABCDE rule?
An incisional biopsy is done on E.N.’s mole.
Diagnosis of malignant melanoma is confirmed.
- What factors will determine the next steps in treatment?
- What are the possible treatment options for E.N.?
E.N. has her mole excised and her axillary lymph nodes on the right side are dissected to assess for metastasis.
- How would you expect this mole to be classified in terms of staging of E.N.’s tumor?
- Would you expect E.N. to require additional treatment after excision?
E.N. questions the type of surgery that was performed and how it was determined that all of the tumor was excised.
- What type of surgical procedure was likely used to excise the mole?
Postoperatively E.N. examines her shoulder.
She tearfully expresses concern regarding the size of the incision and its location on her shoulder.
- How would you respond to her concerns?
- What are some suggestions you could make to assist E.N. in adapting and camouflaging her scar?
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