Melanoma physical examination: Difference between revisions
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==Physical Examination== | ==Physical Examination== | ||
*Although melanoma can occur anywhere, melanoma in women occurs more commonly on the extremities, and in men it occurs | *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 | ||
| Line 12: | Line 12: | ||
:*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: | ||
:*'''A''' - ''Asymmetry'' (suggestive of melanoma) | :*'''A''' - ''Asymmetry'' (suggestive of melanoma) | ||
| Line 18: | Line 19: | ||
:*'''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 21:59, 21 August 2015
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: 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
- 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.
