VICTORIAN MELANOMA SERVICE Nodular Melanoma
VICTORIAN MELANOMA SERVICE Nodular Melanoma
VICTORIAN MELANOMA SERVICE Nodular Melanoma
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<strong>Melanoma</strong> Atlas The following are a collection ofpictures to illustrate the features ofnodular melanomas Some dermoscopic views areincluded to show that thistechnique is of very limited use indiagnosing nodular melanoma<strong>VICTORIAN</strong> <strong>MELANOMA</strong> <strong>SERVICE</strong>
Early <strong>Nodular</strong> <strong>Melanoma</strong>Thickness 1.7mm, Level III<strong>VICTORIAN</strong> <strong>MELANOMA</strong> <strong>SERVICE</strong><strong>VICTORIAN</strong> <strong>MELANOMA</strong> <strong>SERVICE</strong>
Dermoscopy shows ulceration but no specificfeatures of melanoma<strong>VICTORIAN</strong> <strong>MELANOMA</strong> <strong>SERVICE</strong>
Early <strong>Nodular</strong> <strong>Melanoma</strong>Thickness 1.4mm, Level IV<strong>VICTORIAN</strong> <strong>MELANOMA</strong> <strong>SERVICE</strong><strong>VICTORIAN</strong> <strong>MELANOMA</strong> <strong>SERVICE</strong>
Early <strong>Nodular</strong> <strong>Melanoma</strong>Thickness 1.75mm, Level III<strong>VICTORIAN</strong> <strong>MELANOMA</strong> <strong>SERVICE</strong><strong>VICTORIAN</strong> <strong>MELANOMA</strong> <strong>SERVICE</strong>
Early <strong>Nodular</strong> <strong>Melanoma</strong>Thickness 1.7mm, Level III<strong>VICTORIAN</strong> <strong>MELANOMA</strong> <strong>SERVICE</strong><strong>VICTORIAN</strong> <strong>MELANOMA</strong> <strong>SERVICE</strong>
Dermoscopy showing no furtheruseful detail<strong>VICTORIAN</strong> <strong>MELANOMA</strong> <strong>SERVICE</strong>
Early <strong>Nodular</strong> <strong>Melanoma</strong><strong>VICTORIAN</strong> <strong>MELANOMA</strong> <strong>SERVICE</strong>
Intermediate Depth<strong>Nodular</strong> <strong>Melanoma</strong>Thickness 3.35mm, Level IV<strong>VICTORIAN</strong> <strong>MELANOMA</strong> <strong>SERVICE</strong><strong>VICTORIAN</strong> <strong>MELANOMA</strong> <strong>SERVICE</strong>
Dermoscopy showing ulceration but nospecific features of melanoma<strong>VICTORIAN</strong> <strong>MELANOMA</strong> <strong>SERVICE</strong>
Intermediate Depth<strong>Nodular</strong> <strong>Melanoma</strong>Thickness 2.2mm, Level IV<strong>VICTORIAN</strong> <strong>MELANOMA</strong> <strong>SERVICE</strong><strong>VICTORIAN</strong> <strong>MELANOMA</strong> <strong>SERVICE</strong>
Intermediate Depth<strong>Nodular</strong> <strong>Melanoma</strong>Thickness 2.3 mm, Level III<strong>VICTORIAN</strong> <strong>MELANOMA</strong> <strong>SERVICE</strong><strong>VICTORIAN</strong> <strong>MELANOMA</strong> <strong>SERVICE</strong>
Thick <strong>Nodular</strong> <strong>Melanoma</strong>Thickness 5.5mm, Level V<strong>VICTORIAN</strong> <strong>MELANOMA</strong> <strong>SERVICE</strong><strong>VICTORIAN</strong> <strong>MELANOMA</strong> <strong>SERVICE</strong>
Dermoscopy once again adds little<strong>VICTORIAN</strong> <strong>MELANOMA</strong> <strong>SERVICE</strong>
Thick <strong>Nodular</strong> <strong>Melanoma</strong><strong>VICTORIAN</strong> <strong>MELANOMA</strong> <strong>SERVICE</strong>
Thick <strong>Nodular</strong> <strong>Melanoma</strong>Thickness 8.0mm, Level V<strong>VICTORIAN</strong> <strong>MELANOMA</strong> <strong>SERVICE</strong><strong>VICTORIAN</strong> <strong>MELANOMA</strong> <strong>SERVICE</strong>
Thick <strong>Nodular</strong> <strong>Melanoma</strong>Thickness 8.0mm, LevelV<strong>VICTORIAN</strong> <strong>MELANOMA</strong> <strong>SERVICE</strong><strong>VICTORIAN</strong> <strong>MELANOMA</strong> <strong>SERVICE</strong>
Very Thick <strong>Nodular</strong><strong>Melanoma</strong><strong>VICTORIAN</strong> <strong>MELANOMA</strong> <strong>SERVICE</strong>
Early SuperficialSpreading <strong>Melanoma</strong><strong>VICTORIAN</strong> <strong>MELANOMA</strong> <strong>SERVICE</strong>
Early SuperficialSpreading <strong>Melanoma</strong><strong>VICTORIAN</strong> <strong>MELANOMA</strong> <strong>SERVICE</strong>
Early Superficial Spreading<strong>Melanoma</strong> (Dermoscopy(Dermoscopy)<strong>VICTORIAN</strong> <strong>MELANOMA</strong> <strong>SERVICE</strong>
Early Superficial Spreading<strong>Melanoma</strong><strong>VICTORIAN</strong> <strong>MELANOMA</strong> <strong>SERVICE</strong>
Early Superficial Spreading<strong>Melanoma</strong> (Dermoscopy(Dermoscopy)<strong>VICTORIAN</strong> <strong>MELANOMA</strong> <strong>SERVICE</strong>
Early SuperficialSpreading <strong>Melanoma</strong><strong>VICTORIAN</strong> <strong>MELANOMA</strong> <strong>SERVICE</strong>
Early SuperficialSpreading <strong>Melanoma</strong><strong>VICTORIAN</strong> <strong>MELANOMA</strong> <strong>SERVICE</strong>
Early SuperficialSpreading <strong>Melanoma</strong><strong>VICTORIAN</strong> <strong>MELANOMA</strong> <strong>SERVICE</strong>
Late Superficial Spreading<strong>Melanoma</strong><strong>VICTORIAN</strong> <strong>MELANOMA</strong> <strong>SERVICE</strong>
Late Superficial Spreading<strong>Melanoma</strong><strong>VICTORIAN</strong> <strong>MELANOMA</strong> <strong>SERVICE</strong>
What are we looking forin early NM? Small diameter Symmetrical Raised Pink or Red Even in colour<strong>VICTORIAN</strong> <strong>MELANOMA</strong> <strong>SERVICE</strong>
What are we looking forin early NM? Firm to palpation Short history of rapid change –weeks to a few months<strong>VICTORIAN</strong> <strong>MELANOMA</strong> <strong>SERVICE</strong>
<strong>Nodular</strong> <strong>Melanoma</strong> – TheEFG’s E – Elevatedlevated F – Firm irm to touch G – Growing rowing progressively overmore than a month<strong>VICTORIAN</strong> <strong>MELANOMA</strong> <strong>SERVICE</strong>
<strong>Nodular</strong> <strong>Melanoma</strong>:Differential Diagnosis Basal Cell Carcinoma Squamous Cell Carcinoma Merkel Cell Tumour Atypical Fibroxanthoma Early Dermatofibroma Inflamed Intradermal Naevus<strong>VICTORIAN</strong> <strong>MELANOMA</strong> <strong>SERVICE</strong>
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