The incidence of melanoma of the skin, the most commonly fatal form of skin cancer, is increasing faster than any other potentially preventable cancer in the world.
The best method to detect melanoma early is a physician conducted screening taking only a few minutes, with a source of bright light and a magnifying lens.
The A, B, C, D, Es of melanoma recognition are valuable for patient education and for all clinicians:
Asymmetry
Border irregularities
Color variegation (ie, different colors within the same region)
Diameter greater than 6 mm
Enlargement or evolution of color change, shape, or symptoms
Melanoma screening recommendations from expert groups vary, in the absence of definitive data. Persons at higher risk for melanoma (white men over 50 years, individuals with a history of significant sunburn, or multiple moles) have a periodic full body skin examination performed by a clinician who has had appropriate training in the identification of melanoma. Individuals at highest risk (history suggesting a familial melanoma syndrome or with multiple atypical nevi) have a regular full body skin examination by a clinician with skin expertise. The optimal frequency for such examination is unknown. Individuals at high risk for skin cancer should be counseled about self-skin examination and advised to examine their skin regularly and notify their physicians if moles change.
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Annual Checkup
It is recommended that all individuals see a Family Doctor for a full medical examination annually. Adults should get their blood pressure checked (US Preventive Task Force), a flu vaccine (CDC) and more each year.
The American Dental Association recommends dental cleanings for adults at least twice annually. Some stains can only be removed by a professional cleaning.
It’s recommended by the American Academy of Ophthalmology that every adult between the ages of 18 and 80 does an eye examination at least once every two years.
It's recommended by the American Cancer Association that every adult between the age of 20 and 80 does an annual skin screening by a licensed dermatologist.
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