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Follow-up Guidelines for Resected Melanoma 

Follow-up Guidelines for Resected Melanoma
Chapter:
Follow-up Guidelines for Resected Melanoma
Author(s):

Jeffrey M. Farma

and Alia Abdulla

DOI:
10.1093/med/9780199971015.003.0008
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date: 15 September 2019

Dermatological surveillance can detect potentially curable recurrence, especially resectable locoregional recurrences. Surveillance laboratory tests and chest X-rays can have limited value while producing a relatively high false-positive rate. Lymph node ultrasonography is a valuable imaging modality in patients with equivocal lymphatic nodal basin physical examinations. In early stages of melanoma, the benefit of routine surveillance imaging studies is questionable; however, close surveillance with detailed medical history and physical examination is necessary, with special attention to regional recurrences every three to 12 months, depending on the AJCC stage category and the risk of recurrence. In Stage III or greater, more frequent surveillance in the form of more frequent physical examination, laboratory tests based on symptomatology, and cross-sectional imaging may be indicated because of the higher risk of recurrence in this population. CT, MRI, and/or PET/CT are often components of the overall follow-up for these high-risk patients.

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