Multiple Choice
A 56-year-old lady visits the office because she has a pigmented lesion on her back. She initially saw the lesion a year ago, and it has since grown in size. The patient's medical history is ordinary. The patient has spent the previous 30 years working as a forest service ranger and spending a lot of time outside. As illustrated in the exhibit, there is a huge irregular pigmented lesion on the upper back.
as well as scattered patches of erythema and telangiectasias. Excisional biopsy of the lesion shows malignant melanoma. Which of the following is associated with the highest risk of metastasis for this patient's lesion?
A) Active horizontal growth
B) Active vertical growth
C) Dense lymphocyte infiltration
D) Multinucleated giant melanocytes
E) Prominent cellular atypia
Correct Answer:

Verified
Correct Answer:
Verified
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