Department of Dermatology, University of Colorado Denver, Aurora, CO, USA.
Cancers (Basel). 2010 Jun 7;2(2):1178-97. doi: 10.3390/cancers2021178.
Health care providers and their patients jointly participate in melanoma prevention, surveillance, diagnosis, and treatment. This paper reviews screening and follow-up strategies for patients who have been diagnosed with melanoma, based on current available evidence, and focuses on methods to assess disease recurrence and second primary occurrence. Secondary prevention, including the roles of behavioral modification and chemoprevention are also reviewed. The role of follow-up dermatologist consultation, with focused physical examinations complemented by dermatoscopy, reflectance confocal microscopy, and/or full-body mapping is discussed. Furthermore, we address the inclusion of routine imaging and laboratory assessment as components of follow-up and monitoring of advanced stage melanoma. The role of physicians in addressing the psychosocial stresses associated with a diagnosis of melanoma is reviewed.
医疗保健提供者及其患者共同参与黑色素瘤的预防、监测、诊断和治疗。本文根据现有证据，回顾了诊断为黑色素瘤的患者的筛查和随访策略，重点介绍了评估疾病复发和第二原发癌的方法。还回顾了二级预防，包括行为改变和化学预防的作用。讨论了后续皮肤科医生咨询的作用，通过重点的体格检查，辅以皮肤镜、反射共聚焦显微镜和/或全身成像来进行随访。此外，我们还讨论了将常规影像学和实验室评估作为晚期黑色素瘤随访和监测的一部分。还回顾了医生在处理与黑色素瘤诊断相关的心理社会压力方面的作用。
