This week's episode welcomes our guest Dr Julie Howle who is a surgical oncologist from Westmead Hospital in Sydney.We cover a wide range of topics related to management of melanoma including:- precursor lesions- whether ulceration relates to the clinical or histopathological diagnosis of ulceration- when to perform systemic staging for melanoma- management of in-transit and satellite lesions including whether you need do a sentinel lymph node biopsy if these are present- sentinel lymph node biopsy - the role of isolated limb infusion and perfusion in the era of effective systemic therapies- a brief overview of targeted therapies and immunotherapy- how to perform an inguinal lymph node dissectionJulie also talks to us about her incredible triathlon achievements and balancing life in surgery and as an athlete. DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information in this document.The author provides no guarantees or assurances in relation to any connection between the content of this podcast and the general surgical fellowship exam.  No responsibility or liability is accepted by the author in relation to the performance of any person in the exam.  This podcast is not a substitute for candidates undertaking their own preparations for the exam.To the maximum extent permitted by law, no responsibility or liability is accepted by the author or publisher or any other person as to the adequacy, accuracy, correctness, completeness or reasonableness of this information, including any statements or information provided by third parties and reproduced or referred to in this document. To the maximum extent permitted by law, no responsibility for any errors in or omissions from this document, whether arising out of negligence or otherwise, is accepted.The information contained in this podcast has not been independently verified.© Amanda Nikolic 2022