Presentation
The disease most often presents in children and teenagers but can occur at any age. The presenting feature is usually a high total body nevi count (usually more than 50). [orpha.net]
Spindle-shaped cells are frequently present. The tumour arises in adults. Patients typically present with abnormal vaginal bleeding. The prognosis is dismal 10 Tavassoli FA, Devilee P (Eds.) World Health Organization Classification of Tumours. [codes.iarc.fr]
Swedish and American families The present study included Swedish and American families with inherited CDKN2A mutations. [ki.se]
Lentigo maligna melanoma (∼ 10%) Predilection sites : areas of skin that are exposed to sunlight Clinical presentation : large, irregularly shaped patch with irregular pigmentation Growth : Often arises from lentigo maligna in the elderly Relatively slow [amboss.com]
Our results emphasize the importance of obtaining careful family histories, particularly for patients who present with multiple cancers or cancer at an early age. [nejm.org]
Workup
If one of the high-risk indicators, mentioned previously is found, there is reasonable evidence for potential growth and many authorities recommend advancing the workup and obtaining a biopsy. [eyewiki.aao.org]
(See Etiology and Workup.) [emedicine.medscape.com]
Treatment
[…] disease; and molecular testing, for example V600EBRAF, to learn more about the tumor and how it will likely respond to different treatments. [cancer.dartmouth.edu]
These patients require rapid evaluation and treatment. [tidsskriftet.no]
General treatment The primary goal of treatment for uveal melanomas is to prevent metastasis. [eyewiki.aao.org]
The NCCN Templates are not exhaustive and do not represent the full spectrum of care or treatment options described in the NCCN Guidelines or the NCCN Compendium or include all appropriate approaches or combinations of drugs or biologics for the treatment [nccn.org]
MRA is catalyzing strategic, collaborative, and accountable research efforts that have moved the field forward and given patients and their loved ones better treatment options and renewed hope. [curemelanoma.org]
Prognosis
Prognosis In those with pancreatic cancer, the prognosis is poor. Early diagnosis and treatment of melanoma tends to lead to a better prognosis. The documents contained in this web site are presented for information purposes only. [orpha.net]
Iris melanoma: features and prognosis in 317 children and adults. J AAPOS. 2012 Feb;16(1):10-6. ↑ 4.0 4.1 Kujala E, Makitie T, Kivela T (2003) Very Long-Term Prognosis of Patients with Malignant Uveal Melanoma. [eyewiki.aao.org]
The prognosis is dismal 10 Tavassoli FA, Devilee P (Eds.) World Health Organization Classification of Tumours. Pathology and Genetics of Tumours of the Breast and Female Genital Organs. 3rd Edition IARC Press: Lyon 2003. [codes.iarc.fr]
Other subtypes, such as nodular melanoma, have a significantly worse prognosis because they tend to metastasize more rapidly. [amboss.com]
Identification of prognostic groups and estimation of individual prognosis for 5093 patients. Cancer. 1995;75:2484-91. [ Links ] 20 Breslow A. Thickness, cross-sectional areas and depth of invasion in the prognosis of cutaneous melanoma. [scielo.br]
Etiology
Etiology FAMMM syndrome has been associated with mutations in the 16p locus of CDKN2A (9p21), a tumor suppressor gene involved in cell cycle inhibition. However, approximately 60% of patients with FAMMM syndrome do not have a CDKN2A mutation. [orpha.net]
Etiology Origin Melanocytes from the epidermal skin layer A precursor lesion (e.g., congenital or atypical nevi, lentigo maligna ) in ⅓ of cases Risk factors UV radiation exposure Light skin Numerous nevi, giant congenital nevi, or inherited skin conditions [amboss.com]
(See Etiology and Workup.) [emedicine.medscape.com]
[…] age-adjusted incidence of this rare malignancy has been reported as 5.1 per million and has remained stable since at least the early 1970’s. [1] These tumors most commonly arise unilaterally in Caucasians during the fifth to sixth decade of life. [1] Etiology [eyewiki.aao.org]
Epidemiology
Epidemiology Most common life-threatening dermatological disease References: [1] Epidemiological data refers to the US, unless otherwise specified. [amboss.com]
Summary Epidemiology The prevalence is unknown. [orpha.net]
UVA/UVB radiation Epidemiological studies provide evidence that sunlight influences the development of melanoma. Studies document that within the same population there is a higher incidence of melanoma within decreasing latitudes. [oncolex.org]
Recent epidemiological studies confirm these suggestions. [ncbi.nlm.nih.gov]
Pathophysiology
[…] occasionally children - all have same morphology Sites Head and neck, back, lower extremities (particularly in women) Also oral and anogenital mucosa, esophagus, meninges and eye Rarely subungual ("Hutchinson sign / melanotic whitlow"), palm or sole Pathophysiology [pathologyoutlines.com]
The pathophysiology of uveal melanoma is currently not well understood. [eyewiki.aao.org]
Prevention
[…] and early detection of cervical cancer: American Cancer Society, American Society for Colposcopy and Cervical Pathology, and American Society for Clinical Pathology screening guidelines for the prevention and early detection of cervical cancer. [nccn.org]
Statistics BC Canada Can I help to prevent it? Skin cancer is one of the most preventable types of cancer. The key is to protect your skin from the sun and other sources of ultraviolet (UV) light throughout your life. [bccancer.bc.ca]
Cancer prevention We have no proof that lifestyle change will prevent cancer but it seems likely that this is so. [genomel.org]
Preventing melanoma Melanoma isn't always preventable, but you can reduce your chances of developing it by avoiding getting sunburned (even going pink in the sun). [nhs.uk]
MRA supports both individual investigator and collaborative team projects focused on translational, innovative research that will impact the prevention, diagnosis, staging, and treatment of melanoma in the near and intermediate future. [curemelanoma.org]