Malignant Melanoma Flashcards
What is it
An invasive malignant tumour of the epidermal melanocytes, which has the potential to metastasise
Risk factors
Excessive UV exposure Skin type 1 History of multiple moles or atypical moles FH Prev Hx of melanoma's
ABCDE Symptoms rule
Assymetrical shape Border irregular Colour irregular Diameter >6mm Evolution of lesion (change in size and shape)
Symptoms - bleeding and itching
Where is it more common in men and women?
Trunk
Legs
Superficial spreading melanoma
- Where and who is it common?
- What is it related to?
Lower limbs
Young middle aged adults
Intermittent high intensity UV exposure
Nodular melanoma
- Where and who is it common?
- What is it related to?
Common on the trunk
In young and middle aged adults
Intermittent high intensity UV exposure
Lentigo Maligna Melanoma
- Where and who is it common?
- What is it related to?
Face
Elderly
Long term cumulative IV exposure
Acral Lentiginous Melanoma
- Where and who is it common?
- What is different about this one?
Palms, soles and nail beds
Elderly
No clear relation with UV exposure
Management - 3
What is Breslow’s thickness used to predict?
Surgical excision
Radiotherapy
Chemotherapy
Used to predict the recurrence of melanoma