Atypical Moles
Atypical moles can be distinguished visually by clinical features of size greater than 6 mm in diameter, color variegation, indistinct borders, and textured surface. All patients who have atypical moles should be counselled about sun avoidance, screening of family members, and regular skin checks at...
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| Veröffentlicht in: | American family physician 2008-09, Vol.78 (6), p.735-740 |
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| creator | Cyr, Peggy R., MD |
| description | Atypical moles can be distinguished visually by clinical features of size greater than 6 mm in diameter, color variegation, indistinct borders, and textured surface. All patients who have atypical moles should be counselled about sun avoidance, screening of family members, and regular skin checks at least once per year. Total body photography and dermoscopy can aid in regular skin monitoring for changes in atypical moles and the emergence of new lesions. The presence of multiple atypical moles increases the risk of melanoma. The greatest risk of melanoma is in patients who have more than 50 atypical moles and two or more family members with melanoma (familial atypical mole and melanoma syndrome). Atypical moles should be removed when they have features suggestive of malignant transformation. Elliptical excision is the preferred removal technique. Removing all atypical moles is neither necessary nor cost effective. ( Am Fam Physician . 2008;78(6):735–740, 741–742. Copyright © 2008 American Academy of Family Physicians.) |
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All patients who have atypical moles should be counselled about sun avoidance, screening of family members, and regular skin checks at least once per year. Total body photography and dermoscopy can aid in regular skin monitoring for changes in atypical moles and the emergence of new lesions. The presence of multiple atypical moles increases the risk of melanoma. The greatest risk of melanoma is in patients who have more than 50 atypical moles and two or more family members with melanoma (familial atypical mole and melanoma syndrome). Atypical moles should be removed when they have features suggestive of malignant transformation. Elliptical excision is the preferred removal technique. Removing all atypical moles is neither necessary nor cost effective. ( Am Fam Physician . 2008;78(6):735–740, 741–742. 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Copyright © 2008 American Academy of Family Physicians.)</description><subject>Biopsy</subject><subject>Dermoscopy</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Nevus - etiology</subject><subject>Nevus - pathology</subject><subject>Nevus - surgery</subject><subject>Patients</subject><subject>Physicians</subject><subject>Skin cancer</subject><subject>Skin Neoplasms - etiology</subject><subject>Skin Neoplasms - pathology</subject><subject>Skin Neoplasms - surgery</subject><subject>Studies</subject><issn>0002-838X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNpdkMtKxEAQRXuhOGPUTxBx4S5Q_UhStRGGwReMuFDBXdNJOpCxk4zpRMjf22FGF66KgsPh3nvElgAgYpT4sWCn3m_DmyWcTtiCI3ISCpbsYjVMu7ow7uq5c9afsePKOG_PDzdi7_d3b-vHePPy8LRebWIriA8x8UrkqTEkSaLCrARIDCkE4ilmpHKukhKRyGCBCqQp87IKUKVACGlzGbGbvXfXd1-j9YNual9Y50xru9HrlFJAEewRu_4Hbruxb0M2LaQSCU8ED9DlARrzxpZ619eN6Sf9WzMAt3vAhk7fte114ep2rv1pJ-v_lFx7oUG_zsPNuwGmAJih_AEzf14i</recordid><startdate>20080915</startdate><enddate>20080915</enddate><creator>Cyr, Peggy R., MD</creator><general>American Academy of Family Physicians</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M0T</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20080915</creationdate><title>Atypical Moles</title><author>Cyr, Peggy R., MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-e291t-91f2b6aa93938487d005a94809168794b145d8899a8c8403adbdfd00f40223eb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Biopsy</topic><topic>Dermoscopy</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Nevus - 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All patients who have atypical moles should be counselled about sun avoidance, screening of family members, and regular skin checks at least once per year. Total body photography and dermoscopy can aid in regular skin monitoring for changes in atypical moles and the emergence of new lesions. The presence of multiple atypical moles increases the risk of melanoma. The greatest risk of melanoma is in patients who have more than 50 atypical moles and two or more family members with melanoma (familial atypical mole and melanoma syndrome). Atypical moles should be removed when they have features suggestive of malignant transformation. Elliptical excision is the preferred removal technique. Removing all atypical moles is neither necessary nor cost effective. ( Am Fam Physician . 2008;78(6):735–740, 741–742. Copyright © 2008 American Academy of Family Physicians.)</abstract><cop>United States</cop><pub>American Academy of Family Physicians</pub><pmid>18819240</pmid><tpages>6</tpages></addata></record> |
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| ispartof | American family physician, 2008-09, Vol.78 (6), p.735-740 |
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| language | eng |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Biopsy Dermoscopy Humans Internal Medicine Nevus - etiology Nevus - pathology Nevus - surgery Patients Physicians Skin cancer Skin Neoplasms - etiology Skin Neoplasms - pathology Skin Neoplasms - surgery Studies |
| title | Atypical Moles |
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