Short Term Monitoring

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 Author(s): Florentia Dimitriou, Scott Menzies

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Short term monitoring, Digital mole monitoring, Mole monitoring Short Term Monitoring – cite! Short Term Monitoring (message) Short Term Monitoring – participate!

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every three months or less

• Is performed for lesions, that because of history of appearance, cannot be deemed benign with absolute certainty at the initial examination.
• It enables early detection of fearless melanomas while decreasing the need of excision of clinically suspicious benign lesions.
• Any morphologic change seen at three months from baseline (short-term monitoring) requires excision.

Significant change	Non-significant change
Any change other than non-significant changes	Global change in pigmentation
	Loss or appearance of milia-like cysts

Benign Lesions

• Lesions remaining unchanged at 2-5-4.5 months are mostly confirmed benign on further follow-up.

Non-lentigo maligna type lesions

• Lesions observed to change during the short-term interval of 2.5-4.5 months.

Lentigo maligna Lesions

• The changes in lentigo maligna melanoma can develop very gradually and thus a longer follow-up interval is necessary to detect some of these melanomas. A monitored interval between 6-12 months is recommended.

References

1. An Atlas of Dermoscopy, Second Edition. Marghoob A. et al. CRC Press; 2012.
2. Altamura, D., Avramidis, M. & Menzies, S.W., 2008, Assessment of the optimal interval for and sensitivity of short-term sequential digital dermoscopy moni- toring for the diagnosis of melanoma. Arch Dermatol, 144, 502–6.
3. Altamura, D., Zalaudek, I., Sera, F., et al., 2007, Dermoscopic changes in acral melanocytic nevi during digital follow-up. Arch Dermatol, 143, 1372–6.
4. Argenziano, G., Zalaudek, I. & Ferrara, G., 2007, Fast-growing and slow-growing melanomas. Arch Dermatol, 143, 802–3; author reply 803–4.
5. Banky, J.P., Kelly, J.W., English, D.R., Yeatman, J.M. & Dowling, J.P., 2005, Incidence of new and changed nevi and melanomas detected using baseline images and dermoscopy in patients at high risk for melanoma. Arch Dermatol, 141, 998–1006.
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12. Kittler, H., Seltenheim, M., Dawid, M., et al., 2000b, Frequency and characteristics of enlarging common melanocytic nevi. Arch Dermatol, 136, 316–20.
13. Menzies, S.W., Gutenev, A., Avramidis, M., Batrac, A. & McCarthy, W.H., 2001, Short-term digital surface microscopic monitoring of atypical or changing mela- nocytic lesions. Arch Dermatol, 137, 1583–9.
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