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Doctor insights on: Abcde Rule For Melanoma

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What is the abcde screening method for melanoma?|

What is the abcde screening method for melanoma?|

Also...: "e" was added more recently. Stands for evolution- in other words a mole that has recently changed it's size, shape, and/or color; or has started to bleed, become crusty or inflammed. ...Read more

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Dr. Mike Bowman
962 doctors shared insights

Skin Cancer (Definition)

A condition in which some element of your skin which is one of the most complex organs in the body, degenerates into cancer, with the cancerous (malignant) cells growing ...Read more


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Is there a melanoma cancer walk or a melanoma society?

Is there a melanoma cancer walk or a melanoma society?

Yes: Melanoma is a lethal disease if untreated, early detection and excision will cure melanoma.Awareness and education is essential to cure, which is done by melanoma walks in your local area, several organisations like melanoma research alliance, melanoma.Org etc contact your local american society office for more information or your local hospital. ...Read more

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Biopsy shows spitz nevus cells under another type of benign mole. Melenoma can't be ruled out yet. Can melanoma grow under a benign mole?

Biopsy shows spitz nevus cells under another type of benign mole. Melenoma can't be ruled out yet. Can melanoma grow under a benign mole?

Yes: In fact, this is fairly common. No one knows where spitz nevus leaves off and a melanoma capable of metastasizing begins. This is one of the hardest calls in pathology, and some say it's impossible. The burning question will be whether to do additional surgery. ...Read more

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What are the criteria for determining malignancy in melanoma? Aren't all melanoma malignant?

Yes: All melanomas are considered malignant however they have different levels of metastatic potential. This means that some melanomas have the ability to spread to other parts of the body while others, especially in situ melanomas, have little or no risk of metastasis. ...Read more

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Possible for a needle biopsy get benign tumor to become malignant cancer?

Possible for a needle biopsy get benign tumor to become malignant cancer?

No, but...: It may be possible for a mass to have a focus of cancer cells that are not sampled when a needle biopsy is done. (sampling error). Depends on the tumor, site, size, etc. If in doubt, remove the entire mass, not just a needle biopsy. ...Read more

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Best specialist to perform breast biopsy for mass to rule out breast cancer?

Best  specialist  to perform  breast biopsy for mass to rule out breast cancer?

SurgeonOrRadiologist: Breast biopsies are best done by removing a small core of tissue under local anesthesia; if benign, no surgery is needed; if cancerous, surgical rx can follow. If the mass is palpable, either specialist can perform the biopsy equally well. If the mass can only be seen by mammography or ultrasound, the specialist would require expertise and access to these technologies. ...Read more

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Is a sentinel lymph biopsy overkill for melanoma?

No: This depends on how thick the melanoma is in millimeters (the breslow depth) and other factors. For melanoma >1mm it is considered standard, for melanoma 0.75 to 0.99, other factors like age or mitotic rate are considered. Less than 0.75 may be 'overkill' but every patient should discuss the risks and benefits with their surgeon. ...Read more

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I have a mole with 2 out of 5 of the abcde symptoms (melanoma) its border and color. Lesion benign?

I have a mole with 2 out of 5 of the abcde symptoms (melanoma) its border and color. Lesion benign?

Tell me more: The most significant features to watch are size(>5mm) and mixture of colors(C and D). Tell us which 2 features are causing you concern??? Then we can guide you further in terms of the need for doing a biopsy or not. ...Read more

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Pathology moderate atypical dysplastic nevus, recommend further excision. Is this cancer/melanoma?

Pathology moderate atypical dysplastic nevus, recommend further excision. Is this cancer/melanoma?

Not yet: It may develop into a malignancy but is not yet. The borders may be incompletely excused, or te pathologist may feel that a wide enough clear margin has not been achieved. ...Read more

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Dr. Mark Pack Dr. Pack
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Who can I consult about a suspicious mole & risk of skin cancer?

Dr. Mark Pack Dr. Pack
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Who can I consult about a suspicious mole & risk of skin cancer?

Surgeon: You can see your primary doctor or a surgeon to have your mole evaluated. Some primary doctors will remove these in the office. Most surgeons will definitely remove them either in the office or in the operating room. ...Read more

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Does sentinel lymph biopsy for melanoma work well?

Does sentinel lymph biopsy for melanoma work well?

It does: The sentinel lymph node procedure is the most significant prognostic tool for melanoma. It should be performed in the hands of an experienced surgeon such as a surgical oncologist, ...Read more

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Dx breast cancer at 39, thyroid cancer at 40. Is a PET scan needed to rule out mets and am I at a risk for other cancers?

Genetic testing: You definitely need genetic counseling and testing. A complete family history will help direct this as well. There is no role for screening to look for metastatic disease if you are not known to have it. ...Read more

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Shouldn't a pathology report state, for example, malignancy, father than, suspicious for malignancy?

Shouldn't a pathology report state, for example, malignancy, father than, suspicious for malignancy?

Pathology report: A pathology report should only state as much information as the pathologist is truly certain of. After all, this will be the basis of treatment. Therefore, if a report says 'suspicious' rather than definite malignant, it means that the tissue sampled in the biopsy did not show absolutely convincing features of cancer (at least to that pathologist). You want 100% certainty for a cancer diagnosis! ...Read more

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Please describe treatment options for metastatic melanoma?

Please describe treatment options for metastatic melanoma?

SOC vs. trial: I agree with dr. Ho about standard of care (soc) options vs. Clinical trial. One online way to evaluate clinical trials based on tumor biomarkers in melanoma is here: http://www.Collabrx.Com/melanoma. ...Read more

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What is treatment for a subungual melanoma?

Surgical removal: Treatment of melanoma generally involves surgical removal of the lesion, examination of the regional lymph nodes to assess for spread. For more info see this site. http://www.dermnetnz.org/hair-nails-sweat/melanoma-nailunit.html. ...Read more

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What are risks of a non-melanoma skin cancer excision?

What are risks of a non-melanoma skin cancer excision?

Depends on location: Surgical removal of skin cancers is effective and the risks are associated with the size and location. Bleeding, infection and poor cosmetic outcome are all risks. Delayed healing in areas of poor blood flow is also a risk. Other treatments such as radiation can be successful as well with similar results and better cosmetic outcomes. ...Read more

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What are the treatment options for malignant melanoma cancer?

Many: The treatment for melanoma involves removing the primary site with a margin depending on the depth of the melanoma. In addition for high risk lesion a sentinel lymph node biopsy is performed. If these lymph node contains melanoma the remainder of the lymph nodes are removed from that basin. Treatment for distant disease can involve surgery, chemotherapy and or immunotherapy. ...Read more

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Can a scratched malignant melanoma/amelanotic nodular melanoma heal to look like normal skin?

Can a scratched malignant melanoma/amelanotic nodular melanoma heal to look like normal skin?

They grow deep.: It's doubtful that a melanoma with the top scratched off in any way would appear like normal skin, as they tend to grow deep and not superficially. But if there's really any concern about melanoma, see a Dermatologist right away. ...Read more

Dr. Travis Kidner
2,632 doctors shared insights

Melanoma (Definition)

A type of cancer that develops from pigment-containing ...Read more