Melanoma - Symptoms, signs, diagnosis and management
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- čas přidán 1. 06. 2024
- This video is a virtual blackboard tutorial of malignant melanoma. It outlines a description, causes, symptoms, clinical features, and description of melanoma. Dr O'Donovan uses real images of melanoma in this tutorial, kindly made open access by The Skin Cancer Foundation.
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Thanks to:
Dr. Jonny Guckian (Twitter: @JonnyGucks)
Disclaimer:
The video is intended as an educational resource only. The information within this video or on this channel isn't designed to replace professional input, so if you have any medical issues please consult a medical provider. No professional relationship is being created by watching this video. Dr. O’Donovan cannot give any individual medical advice. All information should be verified for accuracy by the individual user. Dr O’Donovan accepts no responsibility for individual interpretation of data, although it is always accurate to the best of his knowledge at the time of the video being published and has been forumalted using the following resources:
References and credit:
1. "Melanoma Treatment-for health professionals (PDQ®)". National Cancer Institute. June 26, 2015.
2. World Cancer Report 2014 (PDF). World Health Organization. 2014. pp. Chapter 5.14. ISBN 978-9283204299.
3. Kanavy HE, Gerstenblith MR (December 2011). "Ultraviolet radiation and melanoma". Seminars in Cutaneous Medicine and Surgery. 30 (4): 222-8. doi:10.1016/j.sder.2011.08.003
4. www.toddgreen.co.uk/downloads/...
5. www.bad.org.uk/for-the-public...
6. cks.nice.org.uk/melanoma-and-...
7. "SEER Stat Fact Sheets: Melanoma of the Skin". NCI. Archived from the original on 2014-07-06
8. Zitelli JA, Brown CD, Hanusa BH. Surgical margins for excision of primary cutaneous melanoma. J Am Acad Dermatol. 1997;37(3 Pt 1):422-429. doi:10.1016/s0190-9622(97)70144-0
9. cancerstaging.org/references-...
10. www.nice.org.uk/guidance/NG14...
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Photo credit:
Source: Skin Cancer Foundation
Just diagnosed with VM ...really weird cancer. Hopefully I get a chance to survive the 5yr threshold.
I had melanoma removed from my back and I'm a woman I don't use tanning beds or lay in the sun I'm light skin and I still had melanoma I'm 40 these videos help us find melanoma for our dermatologist go get checked out if you have alot of moles I have a atypical Nevis syndrome
Thank you for your comment. Hope you are ok.
I am having an excision done on Friday. I am also 40. I have seen your comments a lot lately, as I have been trying to prepare myself in case I do have a melanoma diagnosis at the end of my pathology results. I noticed that my moles seemed to be almost pulsating during my pregnancies and thought it was really weird. I have had 4 babies back to back. So, I made certain to get to the dermatologist to have a few moles on my back specifically looked at. She picked 3 that she said she was not over the moon about and did dermatech patches for two of them and a shave biopsy for the one at the top of my buttock region (didn't even know existed). Turns out that one is severely dysplastic and needs to be excised and then one of the other ones she tested has the gene responsible for metastasis in cancer (RNA518/Linc00518) present. So, that one will be biopsied after I get my stitches out from my excision. I am worried that melanoma diagnosis is in my near future because of the fact that I feel like my body was talking to me and I went and then this is the result. Apparently, from what I am reading and learning watching videos such as this, my pregnancies puts me at higher risk and I remember also having a lump in my groin area this last pregnancy that I thought was just an ingrown hair. Now I am nervous that it was a lymph node... UGH... I guess I won't know until I get these moles dug out and further examined. I am nervous though...
@@JessicaMarLynn I have a very similar situation, always had a lot of moles. My heart goes out to you for worrying! I’m a worrier myself. Mine came back as melanoma . I’m still concerned yet the great times I had surfing and outdoor activities I wouldn’t trade for anything. While that comment may sound foolish and most likely is. Yet I’m also a God fearing human and know God is in full control. God Bless and I will remember you in my prayers, tonight my first. Doctors are a gift so best to you! ❤️✨😇
@@DoctorODonovan doc I would like to send you a picture of my mole. Can you tell me how to send it
I’ve had an abnormal mole on my ear for a year now. I’m worried about the removal process and if my ear will be ruined if it’s removed.
Thank You!
Pleasure - thanks for watching
I caught melanoma on my right rib cage at 0.5 mm. Had surgery. Biopsy after surgery came back clear. Now I have to be vigilant that I don’t get another one. I go 3 to 4 times a year to the doc now. 2 things saved me. My mom pushing me to go to a dermatologist for mole checks. She’s pushed me for years to go basically every year, and I listened to her. The other thing was playing close attention to my body and those pamphlets you see everywhere, regarding border, color...etc.
Thanks for sharing my friend. I have never had a melanoma but I really want to be vigilant with my dermatological checks. I think a lot of people blow it off but skin cancer is no joke and can be very scary. Seemingly more and more common in younger people as well. Stay safe and be well.
I had it on my back in 0 stage caught it in time now I'm getting my abdomen done it's very scary your not alone mohs surgery is the best cure for melanoma
@@ianp.7536 Definitely go get checked I had melanoma never thought I'd get it melanoma is no joke
Recently, on the side of my right rib, black lumps appeared and it was close together, when I touched it it hurt. I don't know if it's melanoma or not.
@@natz9296 You need to get into a dermatologist tomorrow. Don’t think about it, just call and go. Every day counts! It grows fast! Please go!
Waiting on labs for my biopsy... Done on a large and innocent looking,flat mole...my dermatologist seemed to be concerned about it...bad part is that it has been there for 10+ years and i never had it looked at because it never bothered me... actually went to have some brown spots on my forehead looked at and they were fine...it was the mole behind my ear... keeping my fingers crossed and pray up🙏
Result?
Can you do a video on pink colored melanomas?
I developed various lumps on my left hand including a huge lump on my finger which lead to the amputation of the finger.At one point they suspected a rare skin cancer but it turned out to be a rare Lymphoma called Mycosis Fungoides which was/is at stage 2b the beginning of the advanced disorder.
Thanks for watching and for your comment. Hope you’re better
Very informative.
Question? Is a melanoma usually a Mole that comes out randomly and stand alone or do they come in a bunch?
There can be singular melanomas or multiple. Assessment of the lesions by a trained HCP would be important to determine if they are malignant or not.
I have a small black spot on my left hand from around some 2-3 years it wasn't evolving or changing any colour or shape and it the same size . it dosent itch or hurt and bleed, is it just a normal melanin pigment getting accumulated?
The size / width of the mole has nothing to do with it as something as small as 1mm has the potential be malignant. I've had multiple moles removed from my arms, torso and soles of my feet, and my dermatologist got very worried about the 1mm growth on the sole of my right foot. My latest one to grab my attention is the middle toenail on my left foot, and I'm off to my GP to get a referral to the dermatologist.What looked like a fungal issue isn't.
i have a spot on my scalp, it is hurting and throbbing. i thought it was headache at first but now i notice a spot there in the area where my head hurts
I'm Yvonne, I'm 69 y/o female. I am, Italian, French and Spanish and I have an olive completion. I sun tanned a lot all the way up to my 40's never burning always tanning. I have a really weird place where I've always had, a small "freckle" less that say, 2-3mm. It has always been the same color as light brown and always was the same size. And it's flat. It is located in my pubic area right at the place where I had a C-section 40 years ago. I guess you would say it's on my pubic mound. A few weeks ago I fell and got a really large bruise high on my inner thigh. I was trying to take a picture of it and unintentionally got a picture of this nevis/mole. It now is much larger 7-9mm and all uneven around the edges and mottled and some of it is bumpy. I was shocked to see this. I went to my GP and she called it "suspicious atypical nevis". and referred me to the dermatologist. My appointment is on Friday 11/04/22.... it's Monday 10/17 today. So it's in about two weeks. Wish me luck and any prayers are welcome. This is an old video, so no one will probably read this!!! I always sign off with...
As Always Light and Love !~ yvonne
Let us know how you get on. Wishing you the best.
@@DoctorODonovan Wow, thank you so much!!! I will let you know how it goes. I've gotta say I'm a bit worried, but I don't have any family history and I've got a lot of melanin so I'm hoping that's in my favor! Thanks again for your good wishes.
Hey, what happened with the suspicious lesion?
@@user-gt8iq2rf9l Oh, WOW!!! Thank you so much for caring and asking. I'm so happy to report that the mole was totally benign. It was so hard to wait the few days between them taking the biopsy and getting my results.
Again, thank you for caring.
As Always Light 🕯️Love 💜and Peace 🤣~ yvonne
@@DoctorODonovan Hi, it's Yvonne Meehan. I just got a text from someone who asked about the biopsy of a suspicious mole I had. When I answered I realized that I didn't let you all know how it came out.
I'm so pleased to tell you that it was benign and no further testing is needed. Thank you for caring.
I just noticed throughout the week that I have a mole that appears to be evolving and is different to all my other moles. I have a dermatology appointment set up for two and a half weeks from now but I’m worried that I’m waiting too long. Is this a normal and safe wait time for most people?
Most melanomas are very slow growing so a couple of weeks will not make a difference .
Hope this was resolved
Are moles that appear after hormonal changes need to concern us? Is the same as ones that appear for sun damage?
Hi I am not sure about the specific answer to this question
I have one mole on my foot, what does this mean? It’s normal, no irregular borders, it’s not abnormally large or raised, so is it just a normal mole?
Unfortunately I can't give personal medical advice out on my channel but if you have any medical concerns please visit your nearest medical practitioner
Yes it's normal I have one on my left foot and one on my right I also have displasic Nevis atypical mole syndrome I have already had melanoma removed from my back my abdomen has two that need to be removed thankfully I have a good mohs surgery doctor and caught the melanoma in time
Just keep an eye on your moles go see a dermatologist for a screening if you have other moles on your body it never hurts to get checked out even if it looks normal
This might sound stupid so sorry in advance but can a hair follicle and melanoma coincide in a mole?
Not a stupid question at all - I think this research will be helpful for you and answer your question: www.nih.gov/news-events/nih-research-matters/some-melanomas-may-start-hair-follicles
Thanks for commenting.
@@DoctorODonovan thank you so much 🙏
@@RoseanneB13 no problem!
My mother has a mole on her Back it's 9mm and has a border except from the lower part from where a discoloration is visible. The mole is raised. I first noticed it 3 years ago. It has not changed shape or color. My mother is indian but her skin I fair. Do you think it's melanoma?
Thank you so much for watching the video and taking time to leave a comment. Unfortunately (and I know this will be frustrating for you), I am unable to give individual medical advice out on this channel. This is because of medico-legal reasons, not knowing your full case, circumstances and it would be unethical of me to do so otherwise. I have included the general resources I used to make this video in the description box but I have to advise that you speak to your own health provider (e.g. doctor, nurse) so that they can properly assess your case. Thanks for understanding.
CASE QUESTION 1: 1. A 40 year old woman, Molly, comes to visit you in the GP surgery, she is worried about a new mole she has found on the back of her leg. She said it has been increasing in size over the last few months and recently has noticed it bleeding. She has fair skin (Fitzpatrick Grade I) and has been living in Australia for the last 10 years. She admits that she rarely used sun-screen and has spent a lot of time outside. She also admits to drinking heavily and having Type II Diabetes Mellitus. (QUESTION - What risk factors does she have in her history for melanoma?)
I'm 40 and had one on my back these videos are very helpful and will save lives it saved mine mohs surgery is the best surgery painless and heal faster
Her skin type (always burns), rare use of sunscreen, prolonged exposure to UV light, immunosuppression (DM).
i've gotten a lot of moles on my shoulders, they also got onto my upper back and spread overtime to my arm, they're pretty small, dont think theres any asymmetrical ones or >6 mm ones. i think there's some that have a very small colour differences, im also pretty tan and i've gotten a pretty high amount of sunburns (>3 sunburns). should i get reviewed by an dermatologist? i'm pretty worried about it
some of them have irregular borders but like not a lot
I am sorry but for medico-legal and ethical reasons I can't give individual clinical advice on this channel. This is designed as a general education channel. Please consult your doctor or health provider for individual questions and concerns - if you're worried about moles see a doctor. I hope you found the video informative nontheless. Best wishes.
CASE QUESTION 2: What system do you assess her ‘mole’? What features from this system would make you more suspicious that the ‘mole’ was in-fact a melanoma?
You’d have to do a thorough skin examination with use of a dermoscopy to see if it meets the Assymetry, Borders, Color variation, Diameter>6mm and evolution criteria.
I have many worrying looking moles but haven't been able to afford health insurance for me and can't afford to see a doctor, get biopsies, and possible cancer treatment. Gotta love America.
Sorry to hear this - please seek out charitable or not for profit hospitals in your state if you can.
Just had melanoma removed from my knee… scared waiting on the lab so they can stitch me up.
Is it possible to treat melanoma cancer if its fully spread to your body?
It would need evaluation by an oncology MDT regarding treatment options.
what if my mole has all A B C D but i dont think i've seen it evolving (it's on the back of my shoulder)
Please see a doctor.
@@DoctorODonovan thanks for replying,i will go if i can
Hui my husband have the same type of mole in his back... In that mole have some liquid... If you have these type of liquid in your mole... Pls reply... What can I want to further pl tell me...
What about your moles now.
Did u consult doctor
@@komaliv1495 yes I did, told me to get it removed and went through with operation :)
Aww man, I have that first picture A right under my left breast. It has a black area and a flatter area. Now I’m really scared.
I have a mole on my arm that’s always been big. It has 2 different colors in it and looks like a splash of water, not round. 😩 I think we both ought to call a doctor and get it looked at but don’t be scared! Worry never serves you. It only takes your energy and doesn’t change the outcome anyway… so why not just assume the best!
I’m partially giving myself that advice too. 😅
wishing you all the Best ❤
Yes please see your doctor if you have any concerns
Monday
WHAT ABVOUT BITTOM LIP?.
If you're asking if it is possible for melanomas to be present on the bottom lip then yes it is.
About Molly ,The risk factors that I can mention are :
🌟1.Sun exposure , she goes to the beach alot (australian's common hobby)
🌟2.she has an unusual mole on her foot ,People with many moles or unusual moles called dysplastic nevi or atypical moles have a higher risk of developing melanoma
🌟3.she is white ,People with fair complexion, blond or red hair, blue eyes, and freckles are at increased risk for developing melanoma.
🌟4.she is 40 y.o ,The median age at which people are diagnosed with melanoma
🌟5. she is diabetic & she may take medications that have Weakened or suppressed her immune system + the fact that she drinks alcohole alot
Hi, Fatemeh! Great responses. In terms of risk factors you are right with the following: - Sun exposure - She has Fitzpatrick Grade I skin thus putting her at higher risk of melanoma - She might have immunosupression (although it isn't mentioned directly in the case). In terms of Risk Factors specifically I would probably say that age in this case isn't as major a risk factor since melanoma is actually very common in young people as is one of the most common cancers in people under the age of 30 (especially women). In terms of 'unusual moles' you are right in that atypical mole syndrome increase risk of melanoma, however in this case it doesn't mention the specific number of moles she has (just that she has noticed one ununsual one). Atypical mole syndrome is a condition where someone has over 50 moles on their body, and three or more are atypical. Atypical in this case means over 5mm or unusual in shape or colour. If you have Atypical Mole Syndrome, you are at a 7-10 fold increased risk of melanoma. Well done! I will post the next part of the case tomorrow :)
@@DoctorODonovan Hi dr O'donovan😊thank u 🙏the point u mentioned about the age (the fact that melanoma is very common in people under the age of 30 ) is interesting to me BC I used to think that its not much common in young people , so thank u for correcting me👌👍Also u said melanoma is more common in women but u didn't mention why 🤔I guess a reason for that can be the make up products that women use BC the materials/elements in the make up products (specially the cheaper ones) such as mercury , Cadmium , Talc, Toluene etc can stimulate the Cell division ( Mitosis of the skin cells) in an abnormal way which eventually can lead to getting cancer! What do u think ?... I really enjoyed your vid & Im looking forward to your next vid, tomorrow :)
I don't lay in the sun or use tanning beds my dermatologist found early stage melanoma on my back and removed it I do have many moles on my back and arms abdomen is getting surgery next thank you for doing these videos it saves lives and mine it helps us know what we're looking for to help our dermatologist
Deborah Pamela Darling jojo ❤️💝💕 LaGrin Houston Texas
What if the size of it is 1 inch
Please see a doctor if concerned
The sun quenches the earth from the alien element
Thanks for watching
Looks like a spider bite.
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Melanomas are very serious and need urgent medical attention
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