Malignant Melanoma

ABCDEs of Melanoma

A = Asymmetry One half is unlike the other half. A symmetrical, benign mole An asymmetrical melanoma

B = Border An irregular, scalloped or poorly defined border. A benign mole with an even border A melanoma with uneven borders

C = Color Is varied from one area to another; has shades of tan, brown or black, or is sometimes white, red, or blue. A benign, solid-colored mole A multicolored melanoma

D = Diameter Melanomas are usually greater than 6mm (the size of a pencil eraser) when diagnosed, but they can be smaller. A small, benign mole A melanoma

An evolving malignant mole E = Evolving A mole or skin lesion that looks different from the rest or is changing in size, shape or color. Before After An evolving malignant mole

Moles ?

Nevus of Ota

Other Adverse Effects of Sun Exposure Wrinkles Skin dyschromia Pre-cancers Cataracts Impaired immune surveillance Cyclobutane dimers Sagging Telangiectasia Thinning of skin Leather skin

Skin Cancer Treatment Options

Skin Cancer Treatment Options Topical Therapy - imiquimod (Aldara) Curettage and Electrodessication Excisional Surgery Mohs Micrographic Surgery Radiation Therapy Electronic Brachytherapy SRT-100 Traditional Radiation Therapy Oral Medication - vismodegib (Erivedge)

Surgery vs Mohs

Mohs What is Mohs Micrographic Surgery? The surgical removal of skin cancer followed by microscopic examination of the entire surgical margin to ensure the complete removal of the malignant tissue.

Mohs Why is it called Mohs Micrographic Surgery? The Mohs technique was developed in the 1930’s by Dr. Frederic Mohs. Many modifications / improvements have occurred over the years.

Mohs What are the indications for Mohs Surgery?