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Outpatient Follow-up and Secondary Prevention for Melanoma Patients
Department of Dermatology, University of Colorado Denver, Aurora, CO, USA
Kansas City University of Medicine and Biosciences, Kansas City, MO, USA
Rocky Vista University College of Osteopathic Medicine, Parker, CO, USA
School of Pharmacy, University of Colorado, Aurora, CO, USA
Dermatology Service, Denver Veterans Affairs Medical Center, Denver, CO, USA
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
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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MDPI and ACS Style
Gamble, R.G.; Jensen, D.; Suarez, A.L.; Hanson, A.H.; McLaughlin, L.; Duke, J.; Dellavalle, R.P. Outpatient Follow-up and Secondary Prevention for Melanoma Patients. Cancers 2010, 2, 1178-1197.
Gamble RG, Jensen D, Suarez AL, Hanson AH, McLaughlin L, Duke J, Dellavalle RP. Outpatient Follow-up and Secondary Prevention for Melanoma Patients. Cancers. 2010; 2(2):1178-1197.
Gamble, Ryan G.; Jensen, Daniel; Suarez, Andrea L.; Hanson, Anne H.; McLaughlin, Lauren; Duke, Jodi; Dellavalle, Robert P. 2010. "Outpatient Follow-up and Secondary Prevention for Melanoma Patients." Cancers 2, no. 2: 1178-1197.