Melanoma cutâneo primário

Tovo, L.F.R; Belfort, Francisco Aparecido; Sanches, José Antônio

doi:10.1590/s0104-42302005000100010

Cited by 15 publications

(6 citation statements)

References 4 publications

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“…13,30,37,40 Other benefits of screening included opportunities for documentation and review, provision of patient information and support, and identification of patient kindreds. 7,8,36,37,46 It should be noted that not all guidelines addressed all the topics in this review. For example, some guidelines stated that they focused only on the management of melanoma; 29,36,38,40,45 thus, risk assessment may not have been discussed.…”

Section: Discussionmentioning

confidence: 99%

“…Ten (29%) guidelines contained recommendations that focused on more than one risk factor. 13,15,19,30,32,[35][36][37]40,46 Supplementary Table S4 shows a summary of the different countries' guidelines regarding follow-up after melanoma diagnosis, applicable to high-risk individuals.…”

Section: Guideline Recommendations For Follow-up After a Melanoma Diamentioning

confidence: 99%

“…Five (15%) guidelines contained a general recommendation that follow-up intervals be based on assessment of risk factors for a subsequent primary melanoma. 32,35,36,40,46 Recommendations for follow-up intervals were usually directed at all patients; 36,37,41,45,47 however, some recommendations were specifically for high-risk individuals and these advised additional 'regular' 13,39 and/or longer 'lifelong' follow-up. 32,36,37 There was not always clear differentiation between the risk of a second primary melanoma and the risk of recurrence.…”

Section: Guideline Recommendations For Follow-up After a Melanoma Diamentioning

confidence: 99%

“…Of the guidelines using a formal classification system (19 of 34), we found variation in both the grades of evidence (3-8 levels) and strength of recommendations (3-6 levels). Three guidelines 20,23,46 provided level of evidence classifications, one 36 a level of evidence and consensus classification, and 15 (43%) provided both level of evidence and grade of recommendation. Five 14,30,31,34,47 (15%) guidelines provided a summary of the level of evidence (but no categories) to support their recommendations.…”

Section: Quality Of Evidence Supporting the Guideline Recommendationsmentioning

confidence: 99%

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Clinical practice guidelines for identification, screening and follow-up of individuals at high risk of primary cutaneous melanoma: a systematic review

et al. 2014

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Understanding how individuals at high-risk of primary cutaneous melanoma are best identified, screened and followed up will help optimize melanoma prevention strategies and clinical management. We conducted a systematic review of international clinical practice guidelines and documented the quality of supporting evidence for recommendations for clinical management of individuals at high risk of melanoma. Guidelines published between January 2000 and July 2014 were identified from a systematic search of Medline, Embase and four guideline databases; 34 guidelines from 20 countries were included. High-risk characteristics that were consistently reported included many melanocytic naevi, dysplastic naevi, family history, large congenital naevi, and Fitzpatrick Type I and II skin types. Most guidelines identify risk factors and recommend that individuals at high risk of cutaneous melanoma be monitored, but only half of the guidelines provide recommendations for screening based on level of risk. There is disagreement in screening and follow-up recommendations for those with an increased risk of future melanoma. High-level evidence supports long-term screening of individuals at high risk and monitoring using dermoscopy. Evidence is low for defining screening intervals and duration of follow-up, and for skin self-examination, although education about skin self-examination is widely encouraged. Clinical practice guidelines would benefit from a dedicated section for identification, screening and follow-up of individuals at high risk of melanoma. Guidelines could be improved with clear definitions of multiple naevi, family history and frequency of follow-up. Research examining the benefits and costs of alternative management strategies for groups at high risk will enhance the quality of recommendations.

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Section: Discussionmentioning

confidence: 99%

Section: Guideline Recommendations For Follow-up After a Melanoma Diamentioning

confidence: 99%

Section: Guideline Recommendations For Follow-up After a Melanoma Diamentioning

confidence: 99%

Section: Quality Of Evidence Supporting the Guideline Recommendationsmentioning

confidence: 99%

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Clinical practice guidelines for identification, screening and follow-up of individuals at high risk of primary cutaneous melanoma: a systematic review

et al. 2014

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“…após a suspeita clínica, é recomendada a realização de biópsia excisional, que é a remoção completa da lesão com margens de um a dois milímetros contendo tecido celular subcutâneo, para adequada avaliação anatomopatológica 7,23 . neste estudo, 40% das lesões foram diagnosticadas dessa forma.…”

Section: Discussionunclassified

Perfil de Casos de Melanoma em um Hospital Universitário, 2003 a 2007

Sandri

Pinto

Sousa

et al. 2013

Rev. Bras. Cancerol.

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Introdução: A incidência do melanoma tem aumentado em todo o mundo, porém pouco se conhece sobre as características dos casos atendidos nos hospitais universitários do Brasil. Objetivo: Avaliar o perfil epidemiológico dos casos de melanoma registrados no Hospital de Clínicas da Universidade Federal do Paraná no período de 2003-2007. Método: Estudo descritivo com coleta de dados realizada de forma retrospectiva nos prontuários de casos confirmados de melanoma. As variáveis analisadas foram: sexo, idade, localização do tumor primario e tipo histológico segundo a base de dados do Registro Hospitalar de Cancer. Resultados: Foi identificado, na base de dados hospitalar no periodo estudado, um total de 71 casos com confirmação histológica. O perfil encontrado foi de pacientes brancos (98,2%), do sexo masculino (50,7%), na faixa etária de 40 anos ou mais (85,9%), mediana de 58 anos, apresentando lesão entre um a cinco anos de evolução (48,6%), nas regiões de cabeça e pescoço (25,4%) e tronco (29,6%), do tipo nodular (22%) e extensivo superficial (22%). A maioria das lesões de melanoma preencheu a regra ABCD (assimetria, bordo, cor e diâmetro alterado), sendo que 22,2% dos pacientes tiveram metastases. Conclusão: O melanoma predominou em pacientes brancos, na sexta década de vida, localização torácica com repercussão metastática ou linfonodal.

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