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2016 ; 91
(1
): 49-58
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Brazilian guidelines for diagnosis, treatment and follow-up of primary cutaneous
melanoma - Part II
#MMPMID26982779
Castro LG
; Bakos RM
; Duprat Neto JP
; Bittencourt FV
; Di Giacomo TH
; Serpa SS
; Messina MC
; Loureiro WR
; Macarenco RS
; Stolf HO
; Gontijo G
An Bras Dermatol
2016[Jan]; 91
(1
): 49-58
PMID26982779
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 this second part, the following clinical questions were
answered: 1) which patients with primary cutaneous melanoma benefit from sentinel
lymph node biopsy? 2) Follow-up with body mapping is indicated for which
patients? 3) Is preventive excision of acral nevi beneficious to patients? 4) Is
preventive excision of giant congenital nevi beneficious to patients? 5) How
should stages 0 and I primary cutaneous melanoma patients be followed?