3 - Derm - Benign and Malignant Melanocytic lesions - Melanoma 3 Flashcards Preview

CP2 > 3 - Derm - Benign and Malignant Melanocytic lesions - Melanoma 3 > Flashcards

Flashcards in 3 - Derm - Benign and Malignant Melanocytic lesions - Melanoma 3 Deck (6):
1

Prognosis - how measured?

breslow thickness - top of dermis to deepest invasive melanocyte

2

Prognosis - 5-y survival

in situ - 100%
>1mm - 95%
1-3mm - 70%
>3mm - 40%

3

possible DDx of melanoma

naevi - but usally <5mm - check for others to reassure yourself
seborrhoeic keratoses - (warty+stuck on)
pigmented BCC
Dermatofibroma
pyogenic granuloma

4

melanoma mgmt - initial? followed by?

2mm skin margin excision
then
wide excision based on Breslow thickness - in situ - 5mm, <1mm =1cm - icm per 1mm from here

5

melanoma mgmt - what next?

LN clearance if indicated
treat mets

6

mgmt follow up

3 monthly for 3 y if <1mm depth
then 2 y at 6 monthly intervals if >1mm

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