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• Gamble, R
• Jensen, D
• Suarez, A
• Hanson, A
• McLaughlin, L
• Duke, J
• Dellavalle, R
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• Gamble, R
• Jensen, D
• Suarez, A
• Hanson, A
• McLaughlin, L
• Duke, J
• Dellavalle, R
• [+] on PubMed
• Gamble, R
• Jensen, D
• Suarez, A
• Hanson, A
• McLaughlin, L
• Duke, J
• Dellavalle, R

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Cancers 2010, 2(2), 1178-1197; doi:10.3390/cancers2021178

Review

Outpatient Follow-up and Secondary Prevention for Melanoma Patients

Ryan G. Gamble ^1,† , Daniel Jensen ^1,† , Andrea L. Suarez ¹ , Anne H. Hanson ² , Lauren McLaughlin ³ , Jodi Duke ^1,4  and Robert P. Dellavalle ^1,5,6,*

¹ Department of Dermatology, University of Colorado Denver, Aurora, CO, USA ² Kansas City University of Medicine and Biosciences, Kansas City, MO, USA ³ Rocky Vista University College of Osteopathic Medicine, Parker, CO, USA ⁴ School of Pharmacy, University of Colorado, Aurora, CO, USA ⁵ Dermatology Service, Denver Veterans Affairs Medical Center, Denver, CO, USA ⁶ Epidemiology Department, Colorado School of Public Health, Aurora, CO, USA ^† These authors contributed equally to this work.

* Author to whom correspondence should be addressed.

Received: 23 April 2010; in revised form: 2 June 2010 / Accepted: 3 June 2010 / Published: 7 June 2010

(This article belongs to the Special Issue Current Concepts in the Diagnosis and Treatment of Cutaneous Melanoma)

Download PDF Full-Text [159 KB, Updated Version, uploaded 8 June 2010 09:12 CEST]

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Abstract: 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.

Keywords: melanoma; melanoma follow-up; patient management; secondary prevention; melanoma surveillance; melanoma chemoprevention

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