Prevention and Early Detection of Malignant Melanoma

Prevention and Early Detection of Malignant Melanoma

Dr. Wolfe has contributed to American Family Physician®, a peer reviewed journal of the American Academy of Family Physicians. RICHARD L. EDMAN, M.D., Kupat Holim Clalit, Haifa, Israel JONATHAN T. WOLFE, M.D., University of Pennsylvania, Philadelphia, Pennsylvania In addressing the problem of malignant melanoma, family physicians should empha-size primary prevention. This includes educating patients about the importance of avoiding excessive sun exposure and preventing sunburns, and advising them about the importance of prompt self-referral for changing nevi. Family physicians should be able to perform an overall risk assessment for melanoma, particularly to identify per-sons with familial atypical mole syndrome. Patients with such high risk should be strongly considered for referral for dermatologic surveillance. Because there are no systematic studies in primary care populations, there are no data on which to base rec-ommendations for periodic screening in this setting. However, when performing any part of the physical examination, family physicians should be alert for suspicious nevi. Nevi detected by the family physician or pointed out by the patient should be subject to excisional biopsy with accepted techniques or be referred for such a procedure. (Am Fam Physician 2000;62:2277-84,2285.) read article

By | 2019-01-08T09:09:26+00:00 November 16th, 2000|Skin Cancer / Melanoma|0 Comments

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