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A 55-year-old man presents with a lesion of his right thumb. A clinical photograph and biopsy of the lesion are shown in Figures A and B. Lesion thickness is 0.6mm. Which treatment is recommended to provide the best chance of cure while preserving function?
Chemotherapy to downsize the tumor, followed by resection with a 1-2mm margin.
Moh's micrographic surgery
Disarticulation at the interphalangeal joint and sentinel lymph node biopsy
Disarticulation at the metacarpophalangeal joint and sentinel lymph node biopsy
Ray amputation, lymph node dissection and hyperthermic isolated limb perfusion
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