Clinical Presentation of Cutaneous Melanoma

Rodrigo Arrangoiz MS, MD, FACS, FSSO
  • Clinical features of melanoma often include:
    • Variegated color
    • Irregular raised surface
    • Irregular perimeter
    • Surface ulceration
  • A biopsy should be performed on a:
    • Pigmented lesion that changes in:
      • Size
      • Configuration or
      • Color
  • The so-called ABCDEs are a mnemonic device to help clinicians and laypersons remember potential early signs of melanoma:
    • A denotes lesion asymmetry
    • B border irregularity
    • C color variegation
    • D diameter greater than 6 mm
    • E a lesion that is elevating, evolving, or enlarging
  • When a patient presents with a lesion suggestive of melanoma:
    • In addition to biopsy:
      • A thorough physical examination must be performed, with particular emphasis on the:
        • Skin:
          • Including the scalp, interdigit webspace, and intertriginous areas
        • Nodal basins
        • Subcutaneous tissues

#Arrangoiz #CancerSurgeon #HeadandNeckSurgeon #SurgicalOncologist #Melanoma #SkinCancer #ABCDE #Teacher #CASO #CenterforAdvancedSurgicalOncology

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Published by Rodrigo Arrangoiz MS, MD, FACS, FSSO

My name is Rodrigo Arrangoiz I am a breast surgeon/ thyroid surgeon / parathyroid surgeon / head and neck surgeon / surgical oncologist that works at Center for Advanced Surgical Oncology in Miami, Florida. I was trained as a surgeon at Michigan State University from (2005 to 2010) where I was a chief resident in 2010. My surgical oncology and head and neck training was performed at the Fox Chase Cancer Center in Philadelphia from 2010 to 2012. At the same time I underwent a masters in science (Clinical research for health professionals) at the University of Drexel. Through the International Federation of Head and Neck Societies / Memorial Sloan Kettering Cancer Center I performed a two year head and neck surgery and oncology / endocrine fellowship that ended in 2016. Mi nombre es Rodrigo Arrangoiz, soy cirujano oncólogo / cirujano de tumores de cabeza y cuello / cirujano endocrino que trabaja Center for Advanced Surgical Oncology en Miami, Florida. Fui entrenado como cirujano en Michigan State University (2005 a 2010 ) donde fui jefe de residentes en 2010. Mi formación en oncología quirúrgica y e n tumores de cabeza y cuello se realizó en el Fox Chase Cancer Center en Filadelfia de 2010 a 2012. Al mismo tiempo, me sometí a una maestría en ciencias (investigación clínica para profesionales de la salud) en la Universidad de Drexel. A través de la Federación Internacional de Sociedades de Cabeza y Cuello / Memorial Sloan Kettering Cancer Center realicé una sub especialidad en cirugía de cabeza y cuello / cirugia endocrina de dos años que terminó en 2016.

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