By Dirk Schadendorf, Corinna Kochs, Elisabeth Livingstone
Handbook of Cutaneous cancer is a concise overview, which discusses epidemiology, pathogenesis, medical beneficial properties, prognosis and staging, and present and rising remedies for neighborhood and metastatic sickness. The instruction manual is seriously illustrated with diagnostic courses and remedy algorithms from Dr Schadendorf (which are supported through nationwide and foreign guidelines), in addition to a variety of photos from his perform to aid the textual content. Busy healthcare pros who need a fast evaluate of diagnostic and staging instructions in addition to a precis of present remedies for cutaneous cancer will take advantage of this succinct guide.
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Additional resources for Handbook of Cutaneous Melanoma: A Guide to Diagnosis and Treatment
Survival rates of patients with an ulcerated primary or elevated mitotic rate are lower than those of patients with a nonulcerated melanoma of equivalent T-category . • Nodular involvement-related survival rates differ due to heterogeneity. Tumor burden at the time of staging (microscopic versus macroscopic) was shown to be a further prognostic factor. 1) . • Prognosis is worse in patients with distant metastases. 2) . When elevated LDH levels are found, patients are classified as M1c regardless of the location of distant metastases.
Html , Garbe et al , and Piris et al . 36 • HAND B O O K O F C U TA NE O U S M E LA N O MA zone, perineural invasion, and blood or lymph vessel infiltration (lymphangiosis melanoblastosa) . Results of immunohistochemical stains (eg, S100 protein, HMB45, Melan-A/MART-1, vimentin, Ki67, CK) are used as adjuncts to distinguish between benign and malignant tumors and are helpful to discriminate epithelial-derived tumors from melanoma . Take-home message The pathology report of primary melanoma should include all histologic features required for a correct diagnosis and staging according to the 2009 AJCC classification as they are essential for the prognosis and subsequent therapeutic procedures.
Arch Dermatol. 2006;142:1551-1558. 18 Soong S-J, Harrison RA, McCarthy WH, Urist MM, Balch CM. Factors affecting survival following local, regional, or distant recurrence from localized melanoma. J Surg Oncol. 1998;67:228-233. 19 Hofmann U, Szedlak M, Rittgen W, Jung EG, Schadendorf D. Primary staging and follow-up in melanoma patients – monocenter evaluation of methods, costs and patient survival. Br J Cancer. 2002;87:151-157. 20 Dicker TJ, Kavanagh GM, Herd RM, et al; Scottish Melanoma Group.