Short Term Monitoring

From dermoscopedia
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Author(s) Florentia Dimitriou · Scott Menzies
Responsible author Scott Menzies→ send e-mail
Status unknown
Status update June 14, 2017
Status by Ralph P. Braun

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.

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