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2015 ; 90
(6
): 851-61
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Guidelines of the Brazilian Dermatology Society for diagnosis, treatment and
follow up of primary cutaneous melanoma--Part I
#MMPMID26734867
Castro LG
; Messina MC
; Loureiro W
; Macarenco RS
; Duprat Neto JP
; Di Giacomo TH
; Bittencourt FV
; Bakos RM
; Serpa SS
; Stolf HO
; Gontijo G
An Bras Dermatol
2015[Nov]; 90
(6
): 851-61
PMID26734867
show ga
The last Brazilian guidelines on melanoma were published in 2002. Development in
diagnosis and treatment made updating necessary. The coordinators elaborated ten
clinical questions, based on PICO system. A Medline search, according to specific
MeSH terms for each of the 10 questions was performed and articles selected were
classified from A to D according to level of scientific evidence. Based on the
results, recommendations were defined and classified according to scientific
strength. The present Guidelines were divided in two parts for editorial and
publication reasons. In the first part, the following clinical questions were
answered: 1) The use of dermoscopy for diagnosis of primary cutaneous melanoma
brings benefits for patients when compared with clinical examination? 2) Does
dermoscopy favor diagnosis of nail apparatus melanoma? 3) Is there a prognostic
difference when incisional or excisional biopsies are used? 4) Does revision by a
pathologist trained in melanoma contribute to diagnosis and treatment of primary
cutaneous melanoma? What margins should be used to treat lentigo maligna melanoma
and melanoma in situ?