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12/15 melanoma
Derm
5
Medical
Graduate
12/15/2011

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Cards

Term
how common is melanoma?
Definition
1 in 50 Caucasians born in the US in 2010 is projected to develop invasive melanoma over their lifetime

the most common type of cancer in young US adults age 25-29
Term
melanoma in dark-pigmented persons
Definition
melanoma is relatively uncommon in African Americans, Hispanics and Asians

more deadly in these due to late detection

tumors usually arise on the palms, soles, mucous membranes, and nail regions
Term
the ABCDs of skin markings
Definition
A:symmetry

B:order

C:olor

D:ifference
-overtime
-in relation to other markings
Term
factors determining prognosis
Definition
tumor thickness is measured in millimeters

Breslow depth = from granular later to bottom of tumor

single most important independent factor of the primary lesion in determining treatment, FU, prognosis

>1mm increased risk of metastasis to lymph node
Term
sentinel lymph node biopsy
Definition
sentinel node = the first LN receiving direct lymphatic drainage from a cancer site

represents the a potential first-site to contain metastatic cancer cells

selective removal of the SLN with careful histologic examination is accurate and reliable to detect micromatastases and therefore stage the entire nodal basin
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