PAINE Podcast and Medical Blog

PAINE #PANCE Pearl – Dermatology



Question

 

What are the 5 things to assess in a suspicious lesion/mole to evaluate for melanoma?

 



Answer

 

The ABCDEs of melanoma will help you identify suspicious lesions that will need dermatologic follow-up

 

Asymmetry

Border Irregularity

Color

Diameter

Evolution

 

The is also another set of criteria that was developed in the UK by the United Kingdom National Institute for Clinical Excellence (NICE) and by the Scottish Intercollegiate Guidelines Network called the Glasgow Seven-point Checklist.  These guidelines incorporate 3 major and 4 minor criteria and any major or 3 minor criteria is an indication for referral.

Major

Minor



Once a patient has been referred to a dermatologist, they use a similar seven point system on dermoscopy to diagnose melanoma.

Major (2 points each)

Minor (1 point each)

 

A melonoma score of ≥ 3 is required for diagnosis

 



References

  1. National Collaborating Centre for Cancer (UK). Melanoma: Assessment and Management. London: National Institute for Health and Care Excellence (UK); 2015
  2. Scottish Intercollegiate Guidelines Network. Cutaneous Melanoma. A national clinical guideline. January 2017.
  3. Argenziano G, Fabbrocini G, Carli P, De Giorgi V, Sammarco E, Delfino M. Epiluminescence microscopy for the diagnosis of doubtful melanocytic skin lesions. Comparison of the ABCD rule of dermatoscopy and a new 7-point checklist based on pattern analysis. Archives of dermatology. 1998; 134(12):1563-70. [pubmed]
  4. http://www.dermoscopy.org/consensus/2d.asp