MSRA: Melanoma

Question 1

What are the key features when assessing for a melanoma?

Answer 1

Asymmetrical shape
Border irregular
Colour irregular - 2+ different colours in the same lesion
Diameter >6mm
Evolving

Question 2

What are the indications for an urgent 2ww referral to secondary care with melanoma?

Answer 2

7PCL - weighted 7 point check list
Major - 2 points : size change, irregular colour, irregular shape
Minor - 1 point: 7mm+, oozing, bleeding, changes in sensation, itching

3 or more - referral

Question 3

What is the single most important prognositic factor in melanoma?

Answer 3

Breslow thickness