melanoma

Question 1

what is the most common type of melanoma and the most dangerous and why is it dangerous

Answer 1

superficial spreading most common

most dangerous is nodular type due to its propensity to metastasize however Acral worse in Jamaica

Acral lentiginous

Lentigo maligna melanoma

Question 2

describe the clinical features of melanomas.. make mention of the abcde criteria

Answer 2

pruritic

abcde:
asymmetrical
borders irregular
color changes or variations in pigmentation
diameter >6mm
evolving changes in colour shape size or new lesions

Question 3

describe the growth of superficial spreading melanomas vs nodular

Answer 3

superfical spreading mainly horizontal growth

nodular mainly grows in depth

Question 4

describe the growth of superficial spreading melanomas vs nodular

Answer 4

superfical spreading mainly horizontal growth

nodular mainly grows in depth

Question 5

describe clinical features specific to nodular melanomas

Answer 5

reddish brown

may ulcerate and bleed

Question 6

what other symptoms patients with genitourinary melanomas may present with bar features of the melanoma it self

Answer 6

Pain, dysuria, bleeding, dyspareunia, and/or pruritus

Question 7

what is the investigation of choice for diagnosis of a melanoma

Answer 7

excisional biopsy