1. Malignant Melanoma

2. ABCDEs of Melanoma

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

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

5. 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

6. 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

7. 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

9. Moles ?

10. Nevus of Ota

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

14. Skin Cancer Treatment Options

15. 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)

16. Surgery vs Mohs

17. 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.

18. 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.

19. Mohs
What are the indications for Mohs Surgery?