First Prospective Study of the Recognition Process of Melanoma in Dermatological Practice

Gachon, J; Beaulieu, Philippe; Sei, Jean Francois; Gouvernet, J.; Claudel, Jean Paul; Lemaı̂tre, Michel; Richard, M.‐A.; Grob, Jean-Jacques

doi:10.1001/archderm.141.4.434

Cited by 164 publications

(105 citation statements)

References 23 publications

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“…The so-called 'ugly duckling' sign of a lesion that looks different from other nevi on the patient's skin is often the motivation for recognition of a melanoma, whether it be by patients, their relatives or friends, or by physicians. 11 The importance of dysplastic nevi as precursors of melanoma is tempered by the fact that only a small percentage of these lesions will progress, typically visualized as the focal evolution of a melanoma within a pre-existing dysplastic nevus. This phenomenon is occasionally recognized clinically in surveillance photographs.…”

Section: Dysplastic Nevimentioning

confidence: 99%

Precursors to melanoma and their mimics: nevi of special sites

2006

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Melanocytic nevi, which are benign tumors of melanocytes, may have occasional cosmetic significance but, for the most part, they are important only in relation to melanoma. Nevi are the most important simulants of melanoma, both clinically and histologically, and can usually be reliably distinguished from melanomas using published criteria. Some lesions are characterized by greater degrees of atypia and may be more difficult to diagnose. Dysplastic nevi are among the most important simulants of melanoma. Nevi may also be important as potential precursors of melanoma; however, most nevi are stable and will not progress to malignancy. Nevi are vastly more common than melanomas and the rate of progression of individual lesions is very low. Therefore, nevi are not as a rule managed by wholesale excision to prevent melanoma. Nevi are also important as risk markers, identifying individuals at greater risk of developing melanoma in the future. Dysplastic nevi and, to a lesser extent, common acquired and congenital nevi are among the most important melanoma risk markers. Nevi of special sites have been identified as nevi that may show atypical features suggestive of a dysplastic nevus or of a melanoma. However, they are not risk markers and they are not malignancies. Nevi of genital skin, acral skin, and flexural skin are among the most important 'nevi of special sites'. It is important, in considering the differential diagnosis of a lesion in a special site, to avoid overcalling such a lesion as a melanoma or a dysplastic nevus because this could lead to excessive treatment. Conversely, it is important to avoid undercalling a lesion that is a dysplastic nevus or a melanoma as a nevus of special sites, because in this circumstance a patient could lose the opportunity either for surveillance to recognize a developing melanoma at an early, curable stage, or for definitive treatment of an established malignancy. In this monograph, dysplastic nevi and nevi of special sites are compared and contrasted in relation to melanoma.

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Section: Dysplastic Nevimentioning

confidence: 99%

Precursors to melanoma and their mimics: nevi of special sites

2006

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“…Morphologically superficial spreading melanoma, nodular melanoma, lentigo maligna, and acral melanoma are the most common; however, amelonotic melanoma and other sub categories do exist. As mentioned, melanomas typically present as quickly evolving, polychromatic, atypical nevi, which may ulcer or bleed when more advanced [7]. Our patient's case is a classic presentation with expected risk factors.…”

Section: Discussionmentioning

confidence: 52%

“…The ABCDEs of melanoma (asymmetry, border irregularities, multiple or dark colours, diameter ≥6mm, and evolution over time) are classically used to diagnose suspicious lesions, but the "ugly duckling sign" has recently become a surrogate for this method. The "ugly ducking sign" establishes suspicion by evaluating a patient's personal nevi pattern and identifying outliers [7].…”

Section: Introductionmentioning

confidence: 99%

Preventative and Personalized Approach to the Treatment of Malignant Melanoma: A Case Report.

Hughes

Eapen²,

Beecker³

2016

UOJM

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P a g e 4 9 | U O J M V o l u m e 6 I s s u e 1 | M a y 2 0 1 6 Cette étude de cas porte sur le mélanome malin, un cancer de la peau potentiellement mortel avec une gestion unique. Dans le cas de notre patient, le mélanome s'est présenté 28 ans avant la présentation d'une lymphadénopathie axillaire, ce qui a été démontré par la suite comme une zone étant métastatique du mélanome. Des nodules ont été découverts dans sa rate. Suite à la fin des traitements et des suivis de routine, des nodules additionnels ont été découverts dans sa poitrine. Des préventions primaires et secondaires sont importantes pour la gestion de ce patient ainsi qu'un traitement personnalisé.C a s e Re p o r t

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“…ABCDE criteria) in the diagnosis of melanoma. [29] Furthermore, in 2008, Gachon et al found a sensitivity of the ugly duckling sign for melanoma detection…”

Section: Outlier Lesionsmentioning

confidence: 99%

A guide for dermatology nurses to assist in the early detection of skin cancer

Lucas

Chung

Marchetti

et al. 2016

JNEP

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Early diagnosis of skin cancer, particularly melanoma, leads to improved morbidity and mortality. While nurses have been leaders in skin cancer awareness and education for decades, the nursing community can take a more active role in the fight against skin cancer. In order to assume this role, nurses must be familiar with diagnostic aids that help in the early recognition of skin cancer. Dermatology nurses facilitate care in the interdisciplinary team by focusing on patient centered outcomes. Nursing roles and responsibilities in the interdisciplinary team are vital to clinic pre-screening, improving public awareness, disseminating patient education, providing guidance regarding sun avoidance and protection, and providing education on the fundamentals of skin self-examinations and total body skin examinations. Nursing skin assessment requires knowledge of skin lesion morphology and biology, and pattern recognition. As the sensitivity and specificity of naked eye examinations are suboptimal, dermoscopy provides a method for improving and streamlining skin lesion triage and assessment. In this review, we discuss a multi-prong approach to the diagnosis of melanoma, including the ABCDE mnemonic, the "ugly duckling" concept, and some newer technologies (e.g., dermoscopy and total body photography) that aid in the early detection of skin cancers. Familiarity with these detection aids can provide nurses with a basic framework to aid in diagnosing skin cancer.

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First Prospective Study of the Recognition Process of Melanoma in Dermatological Practice

Cited by 164 publications

References 23 publications

Precursors to melanoma and their mimics: nevi of special sites

Precursors to melanoma and their mimics: nevi of special sites

Preventative and Personalized Approach to the Treatment of Malignant Melanoma: A Case Report.

A guide for dermatology nurses to assist in the early detection of skin cancer

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