Melanoma physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Physical exam findings suggestive of malignant melanoma include asymmetric lesions, dark color or variable discoloration, irregular border, large or increasing size, and ulceration. | Physical exam findings suggestive of malignant melanoma include asymmetric lesions, dark color or variable discoloration, irregular border, large or increasing size, and [[ulceration]]. | ||
==Physical Examination== | ==Physical Examination== | ||
*Although melanoma can occur anywhere, melanoma in women occurs more commonly on the extremities, and in men it occurs more commonly on the trunk or head and neck. | *Although melanoma can occur anywhere, melanoma in women occurs more commonly on the extremities, and in men it occurs more commonly on the trunk or head and neck. | ||
*Early signs in a nevus that would suggest a malignant change include the following: | *Early signs in a nevus that would suggest a [[malignant]] change include the following: | ||
:*Darker or variable discoloration | :*Darker or variable discoloration | ||
:*Itching | :*Itching | ||
:*Increase in size | :*Increase in size | ||
:*Development of satellites | :*Development of satellites | ||
:*Ulceration or bleeding (late signs) | :*Ulceration or [[bleeding]] (late signs) | ||
*The ABCDs for distinguishing benign nevi from malignant melanoma are: | *The ABCDs for distinguishing benign nevi from malignant melanoma are: | ||
| Line 19: | Line 19: | ||
:*'''C''' - ''Color'' (irregular color or discoloration, very dark color suggestive of melanoma) | :*'''C''' - ''Color'' (irregular color or discoloration, very dark color suggestive of melanoma) | ||
:*'''D''' - ''Diameter'' (large size or increase in size suggestive of melanoma) | :*'''D''' - ''Diameter'' (large size or increase in size suggestive of melanoma) | ||
* Any suggestive findings detected on physical exam warrant a complete excisional biopsy. | * Any suggestive findings detected on physical exam warrant a complete excisional [[biopsy]]. | ||
===Gallery=== | ===Gallery=== | ||
Revision as of 22:05, 21 August 2015
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: : Yazan Daaboul, M.D., Serge Korjian M.D., Jesus Rosario Hernandez, M.D. [2].
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Melanoma Microchapters |
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Treatment |
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Melanoma physical examination On the Web |
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American Roentgen Ray Society Images of Melanoma physical examination |
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Risk calculators and risk factors for Melanoma physical examination |
Overview
Physical exam findings suggestive of malignant melanoma include asymmetric lesions, dark color or variable discoloration, irregular border, large or increasing size, and ulceration.
Physical Examination
- Although melanoma can occur anywhere, melanoma in women occurs more commonly on the extremities, and in men it occurs more commonly on the trunk or head and neck.
- Early signs in a nevus that would suggest a malignant change include the following:
- Darker or variable discoloration
- Itching
- Increase in size
- Development of satellites
- Ulceration or bleeding (late signs)
- The ABCDs for distinguishing benign nevi from malignant melanoma are:
- A - Asymmetry (suggestive of melanoma)
- B - Border irregularity (suggestive of melanoma)
- C - Color (irregular color or discoloration, very dark color suggestive of melanoma)
- D - Diameter (large size or increase in size suggestive of melanoma)
- Any suggestive findings detected on physical exam warrant a complete excisional biopsy.
