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<strong>The</strong> <strong>Royal</strong> <strong>Marsden</strong>Case Presentation: 33 yo male– Pilot, married, no children– Change in mole in suprasternal notch– Lesion excised = 0.9mm melanoma– Seen in clinic: mass in right SCF– FNA = melanoma– CT thorax, abdomen and pelvis clear– Right neck dissection 1/25 lymph nodes involved withmelanoma