Document Detail

Dysplastic nevi and malignant melanoma.
MedLine Citation:
PMID:  2200246     Owner:  NLM     Status:  MEDLINE    
The incidence of melanoma has been steadily increasing, with a trend for this tumor to develop at younger ages. The only satisfactory treatment for melanoma is early intervention; therefore, routine screening for melanoma and dysplastic nevi during the general physical examination is important. The prevalence of dysplastic nevi is estimated to be 2 to 5 percent. Patients with dysplastic nevi appear to have at least a 6 percent lifetime risk of melanoma. In the most severely affected patients (those with a family history of dysplastic nevi and more than one melanoma), the lifetime risk may exceed 50 percent. Patients with dysplastic nevi merit periodic follow-up. Since these nevi tend to be familial, close relatives of affected patients may also benefit from a screening examination. Individuals at increased risk for melanoma may display one or more of the following risk factors: dysplastic nevi, freckling, tendency to sunburn and numerous common nevi. Such individuals may benefit most from education in sunburn avoidance, sunscreen use and self-examination for changing nevi. A better informed public and heightened physician awareness are the most effective means of reducing mortality from this virulent malignancy.
W A Crutcher; P J Cohen
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  American family physician     Volume:  42     ISSN:  0002-838X     ISO Abbreviation:  Am Fam Physician     Publication Date:  1990 Aug 
Date Detail:
Created Date:  1990-09-10     Completed Date:  1990-09-10     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  1272646     Medline TA:  Am Fam Physician     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  372-85     Citation Subset:  AIM; IM    
Children's Hospital of San Franscisco, California.
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MeSH Terms
Diagnosis, Differential
Dysplastic Nevus Syndrome / diagnosis*,  genetics,  pathology
Melanoma / diagnosis*,  pathology,  prevention & control
Patient Education as Topic
Skin Neoplasms / diagnosis*,  pathology,  prevention & control

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