Reconstructive plastic surgery Melanoma
Melanoma is the most aggressive form of cutaneous neoplasm and originates from the neural crest. It arises from melanocytes, the cells responsible for melanin production, and may develop either within pre-existing nevi (moles) or on previously healthy skin.
Early diagnosis is of critical importance, as melanoma detected at an early stage is fully curable through surgical excision.
Diagnosis is based on clinical examination and dermoscopy. Definitive diagnosis can only be established through histopathological examination following surgical removal (excisional biopsy) of the suspicious lesion.
Surgical excision is the mainstay of treatment. Depending on the stage of the disease, wider excision margins, sentinel lymph node biopsy, and/or additional oncological follow-up may be required
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When you may suspect melanoma - The rule of ABCDE
Melanoma is often described as the “great mimicker” in dermatologic pathology. It has the ability to present in virtually all possible color variations observed in the human body, ranging from very dark blue or black to completely colorless lesions (amelanotic melanoma). As a primary lesion, melanoma may arise on the skin, mucous membranes, or the retina.
Regular self-examination of the skin is extremely important. You should contact your physician promptly if a mole or a previously normal area of your skin or mucous membranes (oral cavity, nasal cavity, internal genital organs in women) shows any of the following changes:
A – Asymmetry
B – Border irregularity
C – Color variation
D – Diameter greater than 6 mm
E – Evolution (change in size, shape, color, or symptoms)Symptoms such as bleeding, itching, or pain are also considered warning signs.
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Risk factors for melanoma
The main factors that increase the risk of developing melanoma include:
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Intense, intermittent, or repeated exposure to sunlight and tanning beds (solariums)
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A history of sunburns, particularly during childhood
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Fair skin phototype, light-colored eyes, and hair
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A high number of moles or the presence of atypical (dysplastic) nevi
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A personal or family history of melanoma
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How to reduce the risk suffering from melanoma
Prevention remains the most powerful “weapon”:
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Consistent use of sun protection throughout the year
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Avoidance of intense sun exposure
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Regular dermatological examinations
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Monitoring for changes in the skin
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A diet rich in antioxidants and monitoring of vitamin D levels
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