Questionnaire assessing management of dysplastic naevus in the UK

1. What grade is the person completing this questionnaire?

2. Years of experience working in dermatology

1-5
6-10
11-20
>20

3. We are now going to ask a series of questions on how you would manage a case, based on variations in the histology report.

The patient is a 45-year-old man with a clinically atypical mole, which is excised from his back.

The excisional biopsy confirms a mildly dysplastic naevus. This lesion is clear of margins by equal or more than 1mm. Which of the following is your preferred management?

No further management is necessary as the lesion is mildly dysplastic
I would re excise this lesion with a 2-5mm clinical margin
Agree management in the skin cancer MDT
Other (please specify):

4. The excisional biopsy confirms a mildly dysplastic naevus. This lesion is clear of margins by less than 1mm. Which of the following is your preferred management?

No further management is necessary as the lesion is mildly dysplastic
I would re excise this lesion with a 2-5 mm clinical margin
Agree management in the skin cancer MDT
Other (please specify):

5. The excisional biopsy confirms a mildly dysplastic naevus. This lesion is not clear of margins. Which of the following is your preferred management?

No further management is necessary as the lesion is mildly dysplastic
I would re excise the lesion to ensure the lesion is completely excised
I would only excise any clinically visible residual pigmentation
I would re excise this lesion with a 2-5mm clinical margin
Agree management in the skin cancer MDT
Other (please specify):

6. The excisional biopsy confirms a moderately dysplastic naevus. This lesion is clear of margins by equal or more than 1mm. Which of the following is your preferred management?

No further management is necessary as the lesion is moderately dysplastic
I would re excise this lesion with a 2-5mm clinical margin
Agree management in the skin cancer MDT
Other (please specify):

7. The excisional biopsy confirms a moderately dysplastic naevus. This lesion is clear of margins by less than 1mm. Which of the following is your preferred management?

No further management is necessary as the lesion is moderately dysplastic
I would re-excise this lesion with a 2-5mm clinical margin
Agree management in the skin cancer MDT
Other (please specify):

8. The excisional biopsy confirms a moderately dysplastic naevus. This lesion is not clear of margins. Which of the following is your preferred management?

No further management is necessary
I would re excise this lesion to ensure the lesion is completely excised
I would only excise any clinically visible residual pigmentation
I would re excise this lesion with a 2-5mm clinical margin
Agree management in the skin cancer MDT
Other (please specify):

9. The excisional biopsy confirms a severely dysplastic naevus. It is clear of the margins by more or equal to 1 mm. Which of the following is your preferred management?

No further management is necessary
I would re-excise this lesion with a 2-5mm clinical margin
Agree management in the skin cancer MDT
Other (please specify):

10. The excisional biopsy confirms a severely dysplastic naevus. It is clear of the margins by less than 1 mm. Which of the following is your preferred management?

No further management is necessary
I would re-excise this lesion with a 2-5mm clinical margin
Agree management in the skin cancer MDT
Other (please specify):

11. The excisional biopsy confirms a severely dysplastic naevus. The lesion is not completely excised. Which of the following would be your preferred management?

No further management is necessary
I would re excise the lesion to ensure the lesion is completely excised
I would only excise any clinically visible residual pigmentation
I would re excise this lesion with a 2-5 mm clinical margin
Agree management in the skin cancer MDT
Other (please specify):

12. How do the pathologists at your hospital report dysplastic naevus?

Mild, moderate and severe
Low grade and high grade

13. How do you counsel a patient with biopsy confirmed dysplastic naevus? Select one or more options.

14. Any further comments regarding the content of this questionnaire.

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