Malignant Melanoma Flashcards
What is it mostly associated with?
UV radiation (80% of cases)
It is ______-growing with a ______-incidence of metastasis.
Aggressive/fast-growing; High METS potential
Who is it most common in?
Caucasians with light hair/eye color, or pts with xeroderma
What is the A in ABCDE’s?
Asymmetry
What is the B in ABCDE’s?
Borders = irregular
What is the C in ABCDE’s?
Color variation = Dark blue, black
What is the D in ABCDE’s?
Diameter = > 6mm
What is the E in ABCDE’s?
Evolution = recent/rapid change
What is the most important prognostic factor for METS?
Thickness
What is the diagnostic test?
Full-thickness wide excision biopsy with LN biopsy
What diagnostic test is discouraged?
Shave biopsy
What is the treatment?
Excision with LN biopsy or dissection
What can you give for high-risk patients?
alpha-interferon, vaccine treatment
