Page 114 - 2021 IDMT Digital

MALIGNANT MELANOMA
Introduction:
• /HDGLQJ FDXVH RI GHDWK GXH WR VNLQ GLVHDVH
• ,QFUHDVHG GHWHFWLRQ RI HDUO\ PHODQRPDV KDV OHG WR LQFUHDVHG VXUYLYDO
• LQ FDVHV RFFXUV EHIRUH WKH DJH RI
• 7XPRU WKLFNQHVV VLQJOH PRVW LPSRUWDQW SURJQRVWLF IDFWRU
o \HDU VXUYLYDO UDWHV PP PP PP ! PP
• 0RUH WKDQ W\SHV EDVHG RQ YDULRXV FOLQLFDO DQG KLVWRORJLFDO FKDUDFWHULVWLFV
• 6KRXOG EH VXVSHFWHG LQ DQ\ SLJPHQWHG VNLQ OHVLRQ ZLWK D UHFHQW FKDQJH LQ DSSHDUDQFH
• ³$%&'(´ 5XOH
o $V\PPHWU\
o %RUGHU ,UUHJXODULW\
o &RORU 9DULHJDWLRQ
o 'LDPHWHU ≥ PP
o (YROXWLRQ D FKDQJLQJ PROH LV WKH VLQJOH PRVW LPSRUWDQW UHDVRQ IRU FORVH
HYDOXDWLRQ DQG SRVVLEOH UHIHUUDO
Subjective:
• 6LJQV DQG 6\PSWRPV
o ³$%&'(´ LUUHJXODULWLHV
• )RFXVHG +LVWRU\
o )DPLO\ RU SHUVRQDO KLVWRU\ RI VNLQ FDQFHU
o 3HUVRQDO KLVWRU\ RI LQWHQVH SHHOLQJ VXQEXUQV
o 6XQVFUHHQ XVH
Objective:
• 3K\VLFDO ([DP
o )XOO VNLQ H[DP LQFOXGLQJ SDOPV IHHW QDLOV
o 9DULHV PD\ EH IODW RU UDLVHG ZLWK ERUGHU LUUHJXODULWLHV DQG YDU\LQJ FRORUV
LQFOXGLQJ UHG ZKLWH EODFN DQG EOXLVK

Assessment:
• 'LIIHUHQWLDO
o 0HODQRF\WLF QHYL QRUPDO PROHV VPDOO OHVLRQV ZLWK D ZHOO GHILQHG ERUGHU DQG
VLQJOH VKDGH RI SLJPHQW
o 6HERUUKHLF NHUDWRVLV EHQLJQ SODTXHV ZLWK D YHOYHW\ RU ZDUW\ VXUIDFH DSSHDU WR
EH VWXFN RQWR WKH VNLQ
o $FWLQLF NHUDWRVLV PDFXOHV DQG SDSXOHV RQ VXQ H[SRVHG DUHDV IHHOV OLNH
VDQGSDSHU
o 6TXDPRXV FHOO FDUFLQRPD QRQ KHDOLQJ XOFHU RU ZDUW\ QRGXOH
o %DVDO FHOO FDUFLQRPD ZD[\ SHDUO\ WUDQVOXFHQW SDSXOH

[ 113 ]