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thus, there was no indication of an underlying BRAF V600E mutation

Any suspicious lesion and/or significant change should be considered for biopsy, preferably by excision with conservative surgical margins (2 mm) providing adequate samples for histopathological evaluation.3,8 Non-surgical alternatives such as topical 5-fluorouracil, systemic isotretinoin, topical tretinoin with or without hydrocortisone, topical imiquimod and laser ablation are not effective or safe for the removal of suspicious lesions and are not recommended.8,52

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As such, this regimen is not commonly used

Number of regional lymph nodes involved, with distinction of clinically occult and clinically apparent