Guidelines from the European Dermatology Forum, European Association of Dermato-Oncology, and European Organisation for Research and Treatment of Cancer were released in January 2020. Recommendations include:
The eighth edition of the American Joint Committee on Cancer should be used for classification into prognostic stages.
When melanoma is suspected based on clinical findings, it should be confirmed using histopathologic studies.
Dermatoscopy should be used for assessing all nonpigmented and pigmented skin lesions. Training in dermatoscopy is considered mandatory.
Use whole-body photography with sequential examinations when assessing high-risk patients for early melanoma detection.
Use sequential digital dermatoscopy to help improve early melanoma detection; this technique should be used in high-risk patients in whom the total nevus count is high.
The use of confocal laser microscopy can be considered for the further evaluation of clinically or dermatoscopically equivocal skin lesions.
Ultrasonography should be performed on locoregional lymph nodes as part of the initial workup for all primary melanomas staged pT1b or higher.
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Cite this: William James. Fast Five Quiz: Malignant Melanoma - Medscape - Aug 21, 2020.