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Systemic Implications of Melanoma

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Abstract

Although the most common presentation of cutaneous malignant melanoma is in the form of a localized primary tumor of the skin, systemic involvement (regional and/or distant metastases) is apparent at diagnosis in approximately 15% of cases [1]. It is important for the practicing clinician to have a thorough understanding of the epidemiology, pathophysiology, and treatment of melanoma, as endorsement of prevention strategies, proper screening regimens, and appropriate treatment of early stage disease all play a role in preventing the development of advanced disease. For patients who do present with systemic involvement, recent advances in molecular biology and immunology have led to novel therapeutic targets and resultant life-prolonging treatment options.

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Abbreviations

AAD:

American Academy of Dermatology

ASCO:

American Society of Clinical Oncology

cSCC:

Cutaneous squamous cell carcinoma

CT:

Computed tomography

FAMM:

Familial atypical multiple mole

FISH:

Fluorescent in situ hybridization

IBD:

Inflammatory bowel disease

KA:

Keratoacanthoma

OR:

Odds Ratio

PET:

Positron emission tomography

PUVA:

Psoralen plus ultraviolet A

RR:

Relative Risk

SDDI:

Sequential digital dermoscopy imaging

SPF:

Sun protection factor

SSO:

Society of Surgical Oncology

UV:

Ultraviolet

UVB:

Ultraviolet B

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Svoboda, R.M., Prado, G., Rigel, D.S. (2021). Systemic Implications of Melanoma. In: Liu, V. (eds) Dermato-Oncology Study Guide. Springer, Cham. https://doi.org/10.1007/978-3-030-53437-0_4

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