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    Subjects/Dermatology/Melanoma — Clinical Staging
    Melanoma — Clinical Staging
    hard
    hand Dermatology

    A 68-year-old woman from Bangalore presents with a 6-month history of a changing dark lesion on her right calf. Examination reveals a 12 mm × 10 mm irregular, darkly pigmented nodule with surface ulceration and surrounding erythema. Histopathology confirms superficial spreading melanoma with a Breslow thickness of 2.5 mm, ulceration present, mitotic rate of 6/mm², and Clark level IV invasion. Sentinel lymph node biopsy shows micrometastases in 2 regional lymph nodes (0.5 mm and 0.8 mm deposits). Staging CT and PET-CT show no distant metastasis. According to AJCC 8th edition, what is the stage of this melanoma?

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