Self-detection frequency and recognition patterns in medium to high-risk cutaneous melanoma patients.
In: Journal der Deutschen Dermatologischen Gesellschaft, Jg. 15 (2017), Heft 1, S. 61-67
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Zugriff:
Background and objectives The question of how frequently patients with medium to high-risk melanomas become aware of their tumors and which self-detection patterns exist remains unanswered. Patients and methods We conducted a retrospective survey of melanoma patients who had undergone sentinel node biopsy between 2004 and 2008. One hundred twenty-seven out of a total of 133 patients completed the questionnaire. Results Twenty-five percent of patients had not noticed their tumors at all. The remaining 75 % showed three different self-detection patterns, with 25 % of individuals seeking medical advice within 0-12 weeks and another 25 % within 3-6 months. The remaining 25 % had waited for more than six months prior to tumor excision. Age, gender, and melanoma location were comparable in all self-detection subgroups. The most frequent subtypes were: SSM (59), NMM (31), ALM (9), UCM (9) and LMM (4). Rare subtypes occurred in 15 individuals. Patients with lesions previously noticed for 3-6 months revealed the highest average tumor thickness and the significantly highest number of pT4 tumors. Sixty percent of NMM patients had a disease history < 6 months. Rare subtypes such as amelanotic, spindle cell, or spitzoid melanoma were self-detected in only 50 % of cases. Conclusions Even advanced melanoma lesions remained undetected in 25 % of patients; rare melanoma subtypes, in 50 % of cases. Thus, self-examination frequency, increased awareness of rare melanoma subtypes, and rapid referral to a specialist ought to be at the center of future awareness campaigns. [ABSTRACT FROM AUTHOR]
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Titel: |
Self-detection frequency and recognition patterns in medium to high-risk cutaneous melanoma patients.
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Autor/in / Beteiligte Person: | Sindrilaru, Anca ; Neckermann, Vera ; Eigentler, Thomas ; Kampilafkos, Panagiotis ; Crisan, Diana ; Treiber, Nicolai ; Scharffetter‐Kochanek, Karin ; Schneider, Lars Alexander |
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Zeitschrift: | Journal der Deutschen Dermatologischen Gesellschaft, Jg. 15 (2017), Heft 1, S. 61-67 |
Veröffentlichung: | 2017 |
Medientyp: | academicJournal |
ISSN: | 1610-0379 (print) |
DOI: | 10.1111/ddg.12905 |
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