| History | 31 year old female with lesion present on right shoulder for one year. |
| Physical Exam | |
| Dysplastic nevus present on right shoulder. No lymphadenopathy. Remainder of physical examination was negative. |
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| Imaging | |
| 12/10/04 | Chest x-ray: within normal limits |
| Laboratory | |
| 12/10/04 | CBC, Differential and LDH were within normal limits. |
| Surgical Observations | |
| 12/11/04 | Excisional biopsy of lesion, right shoulder |
| 12/19/04 | Wide excision with 1 cm margins |
| Pathological Report | |
| 12/11/04 | Right shoulder blade nevus: Malignant melanoma, lesion measuring 5 mm in diameter, microinvasive, extending to a depth of approximately 0.38 mm, Clark's Level II Lesion extends to the edges of the specimen. |
| 12/19/04 | Wide excision specimen, skin right shoulder: There is no sign of neoplasm in the wide excision specimen. |