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ComPbms.Derm1

Melanoma

QuestionAnswer
What? Third most common skin neoplasm, the second most common is squamous cell carcinoma. Like squamous cell, melanoma if caught early can result in poor
Classifications 70% of cases are superficial. 15-20% of cases are nodular. 5-10% of cases are lentigo maligna.
Melanoma More common in women 20-29. More common in white population. Leading cause of death in skin diseases. Median age of diagnosis is 53.
Physical Findings Superficial spreading melanoma is seen on sun exposed areas, scalp, calves are common sights. Nodular can be found anywhere but are common on the scalp and sun exposed areas.
Physical findings contd Lentigo maligna occurs more often in older adults on sun exposed skin. Acral lentiginous melanoma occurs often on soles of the feet, subungal mucous membranes, palms.
ABCD ASYMMETRY. BORDER. COLOR. DIAMETER (>6mm). When you see these, refer to dermatologist.
Diagnosis and treatment Biopsy, this should be performed by an experienced surgeon. Initial excision and followed by chemo therapy.
Created by: DianaB
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