domingo, 23 de septiembre de 2012

National Guideline Clearinghouse | Guidelines of care for the management of primary cutaneous melanoma.

full-text:
National Guideline Clearinghouse | Guidelines of care for the management of primary cutaneous melanoma.



Guideline Title

Guidelines of care for the management of primary cutaneous melanoma.

Bibliographic Source(s)
Bichakjian CK, Halpern AC, Johnson TM, Foote Hood A, Grichnik JM, Swetter SM, Tsao H, Barbosa VH, Chuang TY, Duvic M, Ho VC, Sober AJ, Beutner KR, Bhushan R, Smith Begolka W, American Academy of Dermatology. Guidelines of care for the management of primary cutaneous melanoma. J Am Acad Dermatol 2011 Nov;65(5):1032-47. [143 references] PubMed External Web Site Policy

Guideline Status

This is the current release of the guideline.
This guideline updates a previous version: Guidelines of care for primary cutaneous melanoma. J Am Acad Dermatol 2001 Oct;45(4):579-86. [44 references]


2011 Nov;65(5):1032-47. Epub 2011 Aug 25.

Guidelines of care for the management of primary cutaneous melanoma. American Academy of Dermatology.

Source

Department of Dermatology, University of Michigan Health System and Comprehensive Cancer Center, Ann Arbor, Michigan, USA.

Abstract

The incidence of primary cutaneous melanoma has been increasing dramatically for several decades. Melanoma accounts for the majority of skin cancer-related deaths, but treatment is nearly always curative with early detection of disease. In this update of the guidelines of care, we will discuss the treatment of patients with primary cutaneous melanoma. We will discuss biopsy techniques of a lesion clinically suspicious for melanoma and offer recommendations for the histopathologic interpretation of cutaneous melanoma. We will offer recommendations for the use of laboratory and imaging tests in the initial workup of patients with newly diagnosed melanoma and for follow-up of asymptomatic patients. With regard to treatment of primary cutaneous melanoma, we will provide recommendations for surgical margins and briefly discuss nonsurgical treatments. Finally, we will discuss the value and limitations of sentinel lymph node biopsy and offer recommendations for its use in patients with primary cutaneous melanoma.
Copyright © 2011 American Academy of Dermatology, Inc. Published by Mosby, Inc. All rights reserved.

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