Melanoma secondary prevention
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Yazan Daaboul, M.D.; Serge Korjian M.D.
Overview
The choice of work-up for secondary prevention of melanoma is based on the stage of melanoma at diagnosis. Secondary prevention includes avoidance of ultraviolet radiation exposure, routine dermatologic evaluations, and chest and brain imaging.
Secondary Prevention
The National Comprehensive Cancer Network (NCCN) recommends the following:[1]
Stage 0 at Diagnosis
- Annual dermatologic evaluation for life
- Patient education regarding monthly self-skin exams
- Avoidance of ultraviolet radiation exposure
Stage IA at Diagnosis
- Dermatologic evaluation every 3-12 months for the first 5 years following diagnosis then annually thereafter
- Patient education regarding monthly self-skin exams
- Patient education regarding self-lymph node exam
- Avoidance of ultraviolet radiation exposure
Stage IB-IIA at Diagnosis
- Dermatologic evaluation every 3-6 months for the first 2 years the every 3-12 months for 3 years, then annually thereafter
- Patient education regarding monthly self-skin exams
- Patient education regarding self-lymph node exam
- Avoidance of ultraviolet radiation exposure
Stage IIB-IV at Diagnosis
- Imaging screening using either chest X-ray, CT scan, and/or positron emission tomography (PET) every 3-12 months AND brain MRI every year for the first 5 years.
- Dermatologic evaluation every 3-6 months for the first 2 years the every 3-12 months for 3 years, then annually thereafter
- Patient education regarding monthly self-skin exams
- Patient education regarding self-lymph node exam
- Avoidance of ultraviolet radiation exposure
References
- ↑ Coit DG, Andtbacka R, Anker CJ, Bichakjian CK, Carson WE, Daud A; et al. (2013). "Melanoma, version 2.2013: featured updates to the NCCN guidelines". J Natl Compr Canc Netw. 11 (4): 395–407. PMID 23584343.