A Survey of Timeframe Variations for the Management of Early Stage Melanoma among Dermatology Residency and Procedural Dermatology Fellowship Training Programs in the United States
Journal Title: Journal of Clinical and Investigative Dermatology - Year 2016, Vol 4, Issue 2
Abstract
Background: Early excision of melanomas while tumors are still superficial stage 0 or 1A) is critical. No recent studies have established a maximum recommended time period between diagnosis andexcision of these tumors. Thus, it is helpful to learn about typical timeframes recommended by general dermatology (GD) and procedural dermatology (PD) teaching rograms in the United States (US). Objective: To evaluate patterns in treatment timeframes recommended and employed by American GD and PD programs for stage 0 and 1A melanomas. Methods: Anonymous online survey (SurveyMonkeyTM) distributed to all GD and PD program directors in the US. Results: 180 programs were surveyed. 59.4% (n=38) of the 64 respondents were GD, while 35.9% (n=23) were PD. For stage 0 melanomas, four weeks after diagnosis was the most common recommended treatment timeframe (43.8%, n=28), followed by two weeks (31.3%, n=20). For stage 1A tumors, two weeks was most commonly recommended (43.8%, n=28), followed by four weeks (28.1%, n=18). Conclusions: Most respondents recommended treating stage 0 and 1A melanomas within two or four weeks of diagnosis. The most common recommendation for stage 0 tumors was within four weeks, while two weeks was preferred for stage 1A tumors.
Authors and Affiliations
Shang I Brian Jiang
Keywords
Related Articles
- EP ID EP239821
- DOI 10.13188/2373-1044.1000027
- Views 79
- Downloads 0
A Case of Molluscum Contagiosum in an Adult Patient with Rheumatoid Arthritis, Following Combination Therapy with Adalimumab, Methotrexate and Prednisolone
A 46-years old female was referred from the rheumatology department with diffuse skin lesions. She had been diagnosed with rheumatoid arthritis in 2006 and initially underwent treatment with a combined regimen of methotr...
A Cross Sectional Studyon Awareness Level of Onychomycosis Patients
Onychomycosis is a common nail problem in our country. Diabetic patients are more prone to develop onychomycosis. Various types of fungi are the causative agents of nail infections. This study was designed to assess awar...
An Update on Laser Therapy for Basal Cell Carcinoma
Basal Cell Carcinoma (BCC) is the most common form of skin cancer worldwide with more than two million cases diagnosed annually in the United States. Although this tumor grows slowly and rarely metastasizes, it can cause...
Manifestative Papular Dermatoses: Lichen Ruber Planus of the Mucous Membrane of Oral Cavity
In the article literary data and data of own supervision on one of actual problems of modern dermatology-lichen ruber planus (LRP) of a mucous membrane of oral cavity (MMOC) are cited. Lesion of the mucous membranes is a...
Severe Atopic Dermatitis in an Adult Exacerbated by Staphylococcus intermedius and Improvement with IVIG
Staphylococcus aureus is known to exacerbate atopic dermatitis with production of bacterial enterotoxins and superinfection of lesions [1-3]. We report the first case of severe atopic dermatitis in a human exacerbated...