Melanoma physical examination: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{CMG}}; {{AE}}: {{YD}}, {{SSK}}, {{JH}}. | {{CMG}}; {{AE}}: {{YD}}, {{SSK}}, {{JH}}. | ||
{{Melanoma}} | {{Melanoma}} | ||
==Overview== | ==Overview== | ||
Physical examination findings suggestive of malignant melanoma include | Physical examination findings suggestive of [[malignant]] melanoma include ABCDE: <u>A</u>symmetry of the [[lesion]], <u>B</u>order irregularity, <u>C</u>olor change, large [[Diameter|<u>D</u>iameter]], and <u>E</u>volution over time. | ||
==Physical Examination== | ==Physical Examination== | ||
===Skin=== | ===Skin=== | ||
*Although melanoma can occur anywhere, melanoma among women occurs more commonly on the extremities, and among men it occurs more commonly on the trunk or head and neck. | *Although melanoma can occur anywhere, melanoma among women occurs more commonly on the [[Limb (anatomy)|extremities]], and among men it occurs more commonly on the [[trunk]] or [[head]] and [[neck]]. | ||
*Patients with suspected melanoma should have a full-body examination for other lesions. | *[[Patient|Patients]] with suspected melanoma should have a full-[[Human body|body]] examination for other [[Lesion|lesions]]. | ||
*On physical examination, the | *On [[physical examination]], the ABCDE for distinguishing [[benign]] [[Nevus|nevi]] from [[malignant]] melanoma are: | ||
:*'''A''' - ''Asymmetry'' (suggestive of melanoma) | :*'''A''' - ''Asymmetry'' (suggestive of melanoma) | ||
:*'''B''' - ''Border irregularity'' (suggestive of melanoma) | :*'''B''' - ''Border irregularity'' (suggestive of melanoma) | ||
:*'''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) | ||
*Other signs in a nevus that would suggest a [[malignant]] change include the following: | *Other signs in a nevus that would suggest a [[malignant]] change include the following: | ||
:*Development of satellites | :*Development of [[Satellite (biology)|satellites]] | ||
:*Ulceration or [[bleeding]] (late signs) | :*[[Ulcer|Ulceration]] or [[bleeding]] (late signs) | ||
* Any suggestive findings detected on physical exam warrant a complete | * Any suggestive findings detected on [[Physical examination|physical exam]] warrant a complete [[Biopsy|excisional biopsy]]. To view the complete approach for a suspected melanoma, click [[Melanoma biopsy#Approach to Patients with Suspected Melanoma|'''here''']]. | ||
===Gallery=== | ===Gallery=== | ||
Revision as of 18:26, 3 January 2019
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 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 examination findings suggestive of malignant melanoma include ABCDE: Asymmetry of the lesion, Border irregularity, Color change, large Diameter, and Evolution over time.
Physical Examination
Skin
- Although melanoma can occur anywhere, melanoma among women occurs more commonly on the extremities, and among men it occurs more commonly on the trunk or head and neck.
- Patients with suspected melanoma should have a full-body examination for other lesions.
- On physical examination, the ABCDE 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)
- Other signs in a nevus that would suggest a malignant change include the following:
- Development of satellites
- Ulceration or bleeding (late signs)
- Any suggestive findings detected on physical exam warrant a complete excisional biopsy. To view the complete approach for a suspected melanoma, click here.
