Skin Cancer Melanoma Follow up examination | Dermatology Education Skin Cancer Melanoma Follow up examination Video
September 20, 2017

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Skin Cancer Melanoma Follow up examination

Follow-up examination should be performed at regular intervals as shown in the Table and include:

Visual inspection and palpation of the excision site and surrounding skin

Visual examination of the entire cutaneous surface

Palpation of regional and distant lymph; nodes

Palpation of the liver

Baseline chest x-ray and baseline CT scan of head, chest, and abdomen

Liver function tests are rarely revealing but are often obtained at baseline.

First degree relatives should also be offered full skin examination for screening purposes.

Follow-up Guidelines

 

 

Year from Diagnosis

Primary Tumor Thickness
; <;0.76;mm 0.76–1.5;mm 1.5–4.0;mm >;4.0;mm
First 12 6 3 2
Second 12 6 3 2
Third 12 6 4 3
Fourth 12 12 4 3
Fifth 12 12 6 6
Subsequent 12 12 12 12