How is the diagnosis of melanoma given?

28/03/2018 | MELANOM KOŽE

During  examination of the dermatologist, the doctor will ask for medical history (when the change occurred and how it developed) and family history, and in addition to changes in the skin for which you are there, the doctor will also do a clinical examination of the entire skin and mucous membranes. Examination of the entire skin and all visible mucous membranes are of the utmost importance. The most important part of the examination will be done with a device called a dermoscope, which allows the doctor a better and more accurate insight into pigmented skin changes. An examination with a dermoscope is not invasive and is not painful. All changes that need to be monitored will be registered and the doctor will set the person for a follow-up. The dermatologist will also perform photo-documentation if necessary. If any of the changes are suspicious, the doctor will refer you for the surgical removal of the changes. Part of the skin that was removed is given for analysis and the sample is prepared for examination under a microscope. A specialist pathologist, after histopathological analysis, gives the final diagnosis (histopathological findings) of the change that was surgically removed.

 If the change was benign, it is necessary to keep coming for regular check-ups with the dermatologist as previously scheduled. If the change is malignant, treatment continues with the dermatovenerologist, and if necessary, will include an oncologist if the stage of the disease requires that.

Further treatment will take place according to the recommendation and agreement of the team which consists of an oncologist, a dermatologist, a pathologist and surgeon.


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