Clinical guidelines for the recognition of melanoma of the foot and nail unit

Bristow, Ivan; Berker, David A de; Acland, K.; Turner, Richard; Bowling, Jonathan

doi:10.1186/1757-1146-3-25

Cited by 61 publications

(59 citation statements)

References 60 publications

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“…Indeed, museums illumined them [6]. Nowadays, epidemiologic papers on the foot as the organ of site of origin are being promoted [7][8][9][10][11]. Therefore, the present paper documents the findings from my Nigerian personal experience.…”

Section: Introductionmentioning

confidence: 53%

Is Pedal Melanoma Among A Nigerian Ethnic Group Preventable?

Onuigbo¹

2017

JCPCR

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The characteristic pigmentation of the melanoma lightened the problem of its diagnosis from the 19th century. No wonder that museums illumined their stature in pathology. Nowadays, epidemiological papers point to the selection of the foot as the premier site of melanoma in the tropics. A preliminary paper by the author concerning the Igbo ethnic group in South-Eastern Nigeria suggested the pedal origin of most melanomas. Therefore, this paper aims to verify this presumption with a larger cohort. The highlights in 124 cases were a. Equal male/female ratio b. 61-70 group preponderance c. The sole as the most frequently attacked pedal site d. Submission of specimens from 20 towns other than Enugu, the erstwhile Capital City of the Regional Government.

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Section: Introductionmentioning

confidence: 53%

Is Pedal Melanoma Among A Nigerian Ethnic Group Preventable?

Onuigbo¹

2017

JCPCR

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“…The ABCDEF mnemonic for SM is widely cited and regarded as an important clinical aide for medical professionals in assessing LM [22,23]. There are a few plausible explanations for the lack of familiarity with this mnemonic.…”

Section: Discussionmentioning

confidence: 99%

Assessment of Patient Knowledge of Longitudinal Melanonychia: A Survey Study of Patients in Outpatient Clinics

Halteh¹,

Scher²,

Artis³

et al. 2016

Skin Appendage Disord

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Importance: Subungual melanoma (SM) is a rare subtype of cutaneous melanoma but carries a worse prognosis than similarly staged cutaneous melanomas. Assessing patient knowledge of melanonychia is integral to early diagnosis of SM. Objectives: The aim of this paper is to determine patient knowledge of longitudinal melanonychia (LM) and warning signs for SM, frequency of nail self-examinations, and satisfaction of patients with their physician's nail examinations. Design, Setting, and Participants: We conducted a survey-based study of 363 random patients at Weill Cornell Medicine in New York, USA, performed at 3 different clinics: a general dermatology clinic (n = 167), a nail specialty clinic (n = 44), and a primary care clinic (n = 152). Main Outcomes and Measures: Knowledge of the ABCDEF mnemonic for SM was compared to the ABCD mnemonic for cutaneous melanoma. Analyses were performed for patient behavior regarding suspicious nail changes as well as satisfaction with nail counseling and examination. Results: Only 5% (18/363) of the patients in our study had heard of the ABCDEF mnemonic. In contrast, 9.9% (36/363) of the patients had heard of the ABCD mnemonic for cutaneous melanoma. In total, 37/363 (10.2%) patients reported having LM, 32.4% (12/37) of the patients noted changes in color or width of the band, and 10.8% (4/37) presented with pain or bleeding of the nail, with only 45.9% (17/37) seeking medical attention. Only 11.8% (43/363) of the patients stated that their physician asked them about nail changes, and 1.4% (5/363) of the patients stated that they were counseled about the ABCDEF mnemonic. In comparison, 13.8% (50/363) of the patients were advised on the ABCD mnemonic for the cutaneous melanoma mnemonic. While 70.2% (255/363) of the patients stated that they used sunscreen or wore sun-protective clothing, only 31.4% (114/363) assessed their nails for color changes, with 54.9% (128/233) of the patients categorizing themselves as “very unsatisfied” with the evaluation of their nails by their dermatologist. Conclusions and Relevance: Our data shows that there is a lack of patient knowledge of LM and warning signs for SM. Further testing is needed to determine whether educating patients about LM, warning signs for SM, and nail self-examinations would improve patient outcomes.

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“…The new acronym CUBED (Colored lesion, Uncertain diagnosis, Bleeding lesion, Enlargement of the lesion, Delay in healing of the lesion beyond 2 months) has been useful to obtain an earlier recognition of foot and nail MM 2,3 . Nodular melanoma is prevalent in older male patients, and appears with smaller diameter, more regular border and uniform color than superfi cial spreading melanoma; and ulceration is considered an indicative sign of tumor aggressiveness and poor prognosis 8 .…”

Section: Discussionmentioning

confidence: 99%

“…R ecently, malignant melanoma (MM) has become a subject of major interest due to an increasing incidence and high morbidity and mortality rates [1][2][3][4][5][6] . Although this tumor represents only 4-5% of the skin cancers, it is the main cause of death related to skin malignancies, due to late diagnosis and high potential of distant metastases.…”

Section: Melanoma Maligno Constituye Una Importante Preocupación Debimentioning

confidence: 99%

“…Although this tumor represents only 4-5% of the skin cancers, it is the main cause of death related to skin malignancies, due to late diagnosis and high potential of distant metastases. Foot and nail are uncommon sites (3-15%), with poor prognosis and high lethality [1][2][3][4][5][6] . Worth of note, a study of 4,607 Hispanic Californians with MM showed thicker tumors, in a late stage at diagnosis, with metastases and poor outcomes 4 .…”

Section: Melanoma Maligno Constituye Una Importante Preocupación Debimentioning

confidence: 99%

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