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Seeking
Medical Attention
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Early stage
melanomas are curable with surgery
The first thing you should know is that even if your suspicions are confirmed,
melanoma when caught early, is nearly always curable. There are two distinct
growth phases of a melanoma skin lesion. In the first stage, the lesion
grows outward, increasing its diameter. Cure rates exceed 99% when the
melanoma is caught in this early, non-invasive stage. It is not until the melanoma
enters its second stage, where the tumor begins to invade deeper into
the skin that it becomes much more dangerous. So don't delay - if you
have any concern seek medical attention as soon as possible. |
Who should
examine you?
Melanoma in its early stage is difficult even for trained physicians to
detect. In one recent study, resident primary care physicians misdiagnosed skin cancers
50% of the time. Other studies have shown that the ability of a primary
care physician to correctly diagnose melanoma improves with experience
but even after 10 years in practice, the mis-detection rate can exceeds
30% [1]. For this reason, it is highly recommended
that all suspicious moles be examined by a qualified, experienced dermatologist.
If you are a member of an HMO, ask your primary care physician for a referral.
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If my doctors
tells me not to worry, then what?
Another concern is that patients become complacent after a doctor examines
them and tells them there is nothing to worry about. This so called, false
assurance can lead to a patient not seeking medical attention in the
future should the mole began to change. Remember, a mole can become cancerous
at anytime. |
What if I'm
still concerned
Given the difficulty of detection and the seriousness of a misdiagnosis,
do not hesitate to seek a second opinion. Even dermatologists occasionally
miss a diagnosis. When in doubt, double check. |
Are there techniques
that can improve the accuracy of detection
A skin surface microscopy that uses a small magnifying glass attached
to the end of an oroscope, the instrument that doctors use to look in
eyes and ears, can help your dermatologist detect troublesome features
of a mole before they could be seen with the naked eye, be detected with
the naked eye, enhancing doctors' diagnostic accuracy quite significantly."
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In Review
- Early stage melanoma
is curable but can be difficult to detect.
- Whenever possible,
the examination should be done by a dermatologist.
- Don't become
complacent if the examination proves negative. If the mole changes
in the future, seek medical attention.
- If you are still
concerned, seek a second opinion.
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If the dermatologist
can not rule out skin cancer, he will schedule a biopsy. For a discussion
of that procedure, press Continue.
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