{"id":57864,"date":"2018-11-09T13:55:24","date_gmt":"2018-11-09T11:55:24","guid":{"rendered":"https:\/\/aboutskin.gr\/melanwma\/"},"modified":"2022-10-06T11:31:21","modified_gmt":"2022-10-06T08:31:21","slug":"melanwma","status":"publish","type":"page","link":"https:\/\/aboutskin.gr\/en\/dermatologia\/spiloi-elies\/melanwma\/","title":{"rendered":"Melanoma"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row type=&#8221;vc_default&#8221; css=&#8221;.vc_custom_1571404390292{padding-top: 60px !important;padding-bottom: 60px !important;}&#8221;][vc_column width=&#8221;2\/3&#8243;][vc_column_text]<\/p>\n<h3 style=\"text-align: justify;\"><span style=\"color: #000000;\">It is a malignant neoplasm&#8230;<\/span><\/h3>\n<p style=\"text-align: justify;\"><span style=\"color: #000000;\">Melanoma originating from melanocytes,<strong> the frequency of which is constantly increasing<\/strong>. It is usually found on the skin. It is the <strong>most common malignancy<\/strong> in women aged 25-29 and the<strong> second most common after breast cancer<\/strong> in women aged 30-35.<\/span>&lt;\/p &gt;<\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\"><strong>Early diagnosis and treatment often lead to complete healing.&lt;\/strong &gt;<\/strong><\/span><\/p>\n<p>[\/vc_column_text][vc_empty_space height=&#8221;22px&#8221;][vc_column_text]<\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 16px; color: #000000;\"><strong>Aggravating factors are:<\/strong><\/span><\/p>\n<ul style=\"text-align: justify?;\">\n<li><span style=\"color: #000000;\">Light skin<\/span><\/li>\n<li><span style=\"color: #000000;\">Atypical nevi on protected and exposed skin areas<\/span><\/li>\n<li><span style=\"color: #000000;\">History of melanoma<\/span><\/li>\n<li><span style=\"color: #000000;\">Family history of atypical nevi or melanoma<\/span><\/li>\n<li><span style=\"color: #000000;\">History of sunburn<\/span><\/li>\n<li><span style=\"color: #000000;\">Congenital melanocytic nevi<\/span><\/li>\n<\/ul>\n<p>[\/vc_column_text][vc_separator color=&#8221;custom&#8221; border_width=&#8221;2&#8243; el_width=&#8221;70&#8243; css_animation=&#8221;slideInLeft&#8221; accent_color=&#8221;#bfd631&#8243; css=&#8221;.vc_custom_1573475019619{margin-top: 20px !important;margin-bottom: 20px !important;}&#8221;][\/vc_column][vc_column width=&#8221;1\/3&#8243; el_class=&#8221;new-cust-sidebar&#8221; css=&#8221;.vc_custom_1573723660862{padding-top: 20px !important;}&#8221;][vc_wp_custommenu nav_menu=&#8221;185&#8243; title=&#8221;Clinical Dermatology&#8221;][\/vc_column][\/vc_row][vc_row][vc_column][vc_row_inner][vc_column_inner][\/vc_column_inner][\/vc_row_inner][vc_column_text css_animation=&#8221;none&#8221; css=&#8221;.vc_custom_1573474151455{margin-top: 22px !important;margin-bottom: 32px !important;}&#8221;]<\/p>\n<blockquote><p>Early symptoms such as an <strong>increase in size or change in colour or shape of a nevus<\/strong> as well as itching, tenderness and bleeding should impel you to see your dermatologist immediately.<\/p><\/blockquote>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;1\/2&#8243;][vc_single_image image=&#8221;57340&#8243; img_size=&#8221;large&#8221; alignment=&#8221;center&#8221; style=&#8221;vc_box_rounded&#8221;][\/vc_column][vc_column width=&#8221;1\/2&#8243;][vc_column_text]<span style=\"color: #000000;\">Melanoma is a malignant tumour originating from melanocytes of the chorio-epidermal boundary. It occurs mainly on the skin but can also be found on the mucous membranes, eyes and meninges. It mainly affects the white race, the average age of diagnosis is 55 years and both sexes have an equal probability of being affected.<\/span><\/p>\n<h3><span style=\"color: #000000;\"><strong>Melanoma: what are the risk factors?<\/strong><\/span><\/h3>\n<ul>\n<li><span style=\"color: #000000;\">UV exposure<\/span><\/li>\n<li><span style=\"color: #000000;\">Phenotypic characteristics<\/span><\/li>\n<li><span style=\"color: #000000;\">Phototypes according to Fitzpatrick I and II<\/span><\/li>\n<li><span style=\"color: #000000;\">High number of melanocytic or presence of dysplastic nevi<\/span><\/li>\n<li><span style=\"color: #000000;\">Large congenital nevi<\/span><\/li>\n<li><span style=\"color: #000000;\">History of melanoma<\/span><\/li>\n<li><span style=\"color: #000000;\">Family history of melanoma<\/span><\/li>\n<li><span style=\"color: #000000;\">Inherited mutation in CDK4 and CDKN2A genes<\/span><\/li>\n<li><span style=\"color: #000000;\">Xeroderma pigmentosum<\/span><\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;1\/2&#8243;][vc_column_text]<\/p>\n<h2><span style=\"color: #000000; font-size: 16px;\"><strong>What are the clinical features of melanoma <\/strong><\/span><\/h2>\n<p><span style=\"color: #000000;\">In the usual clinical types, the biological development of melanoma is distinguished into two phases:<\/span><\/p>\n<p><span style=\"color: #000000;\">Horizontal Growth Phase: cancer cells spread peripherally or horizontally along the basal layer of the epidermis and papillary dermis, clinically forming a pigmented spot or plaque that expands asymmetrically. This phase is long-term and lasts from months to years.<\/span><\/p>\n<p><span style=\"color: #000000;\">Vertical Growth Phase: follows the horizontal growth phase and is characterised by the infiltration of the deeper dermis and subcutaneous fat. It presents clinically in the form of a nodule that forms within a short period of time, compared to the previous phase, and in which the cancer cells grow vertically, infiltrating the deeper layers of the skin. This infiltration increases the possibility of metastatic spread of the tumor and worsens the prognosis.<\/span><\/p>\n<h3><span style=\"color: #000000;\"><strong>On the basis of histogenetic characteristics, four types of melanoma are distinguished:<\/strong><\/span><\/h3>\n<ol>\n<li><span style=\"color: #000000;\">Superficial Spreading Melanoma<\/span><\/li>\n<li><span style=\"color: #000000;\">Nodular Melanoma<\/span><\/li>\n<li><span style=\"color: #000000;\">Malignant Lenticular Melanoma<\/span><\/li>\n<li><span style=\"color: #000000;\">Melanoma of the Extremities<\/span><\/li>\n<\/ol>\n<h3><span style=\"color: #000000;\"><strong>What are the symptoms of melanoma?<\/strong><\/span><\/h3>\n<p><span style=\"color: #000000;\">When a nevus (mole) changes in texture, colour and size, it is a sign that we should contact our dermatologist immediately.<\/span><\/p>\n<p><span style=\"color: #000000;\">The medical community has designated the &#8220;MELANOMA ALPHABET&#8221; of the first five letters of the English alphabet (ADCDE) to provide an easy guide to tracking early symptoms of possible melanoma.&lt;\/ span&gt;<\/span><\/p>\n<p><span style=\"color: #000000;\"><strong>A (Asymmetry)<\/strong><\/span><\/p>\n<p><span style=\"color: #000000;\"><strong>B (Border)<\/strong><\/span><\/p>\n<p><span style=\"color: #000000;\"><strong>C (Color)<\/strong><\/span><\/p>\n<p><span style=\"color: #000000;\"><strong>D (Diameter)<\/strong><\/span><\/p>\n<p><span style=\"color: #000000;\"><strong>E (Evolving)<\/strong><\/span><\/p>\n<h3><span style=\"color: #000000;\">What are the factors that contribute to classifying a nevus as dangerous?<\/span><\/h3>\n<h4><span style=\"color: #000000;\"><strong>Melanoma and Diagnosis<\/strong><\/span><\/h4>\n<p><span style=\"color: #000000;\">People who belong to an increased risk group should be examined regularly and according to their doctor&#8217;s instructions. If there is a genetic predisposition or if there are a lot of moles on the body, they should be systematically monitored and nevus mapping should be performed, an examination in which the medical expert closely monitors any possible change.<\/span>[\/vc_column_text][\/vc_column][vc_column width=&#8221;1\/2&#8243;][vc_column_text]<\/p>\n<h4><span style=\"color: #000000;\"><strong>What is Nevus Mapping <\/strong><\/span><\/h4>\n<p><span style=\"color: #000000;\">Digital nevus mapping is the most important means of preventing and controlling skin nevi. The technology in the hands of a dermatologist specialised and experienced in dermoscopy (Dermoscopy Diploma, Medical University of Graz, Austria) enables the early diagnosis of melanoma at a very early stage. For this purpose, a high-resolution dermoscope is used, as well as polarized light, which makes it possible to &#8220;photograph&#8221; nevi in depth, with very high accuracy.<\/span><\/p>\n<p><span style=\"color: #000000;\">This examination allows the doctor to monitor and compare the nevi over time, observing in great detail any possible change.<\/span><\/p>\n<h3><span style=\"color: #000000;\"><strong>What are the benefits of nevus mapping?<\/strong><\/span><\/h3>\n<p><span style=\"color: #000000;\">Digital nevus mapping is necessary in the following cases:<\/span><\/p>\n<ul>\n<li><span style=\"color: #000000;\">When there is a history of melanoma<\/span><\/li>\n<li><span style=\"color: #000000;\">When there are multiple nevi<\/span><\/li>\n<li><span style=\"color: #000000;\">When there is a history of burns<\/span><\/li>\n<li><span style=\"color: #000000;\">When there is a weakened immune system<\/span><\/li>\n<\/ul>\n<h4><span style=\"color: #000000;\"><strong>How is the examination of nevi performed at the doctor&#8217;s office?<\/strong><\/span><\/h4>\n<p><span style=\"color: #000000;\">In the first visit, we examine the whole body of the patient, both with the naked eye and with a dermatoscope. In the case that we detect a lesion with melanoma characteristics, we proceed with its removal.<\/span><\/p>\n<p><span style=\"color: #000000;\">When there is no such lesion, we proceed to the digital imaging of nevi which includes two stages:<\/span><\/p>\n<ol>\n<li><span style=\"color: #000000;\">The first stage includes the Whole Body Clinical Imaging. This procedure is very important as the technology makes it possible to compare with the clinical photos that will be taken in the following period in order to identify possible new lesions that were not present in previous visits<\/span><\/li>\n<li><span style=\"color: #000000;\">Dermoscopic Imaging: In this phase we dermatoscopically record all nevi that are larger than two millimeters in diameter and register them topographically with the help of special software. It is this software that allows us to make a comparative assessment and note if the pattern of any nevi differ from others.<\/span><\/li>\n<\/ol>\n<p><span style=\"color: #000000;\">This assessment is based on the fact that nevi on the same person have a similar dermatoscopic pattern while melanoma has completely different characteristics that make it stand out.<\/span><\/p>\n<p><span style=\"color: #000000;\">In case that any damage is detected, our medical expert will decide whether it should be removed immediately or schedule an appointment for it to be rechecked after a short period of time.<br \/>\n<\/span>[\/vc_column_text][\/vc_column][\/vc_row][vc_row type=&#8221;vc_default&#8221; full_width=&#8221;stretch_row&#8221; css_animation=&#8221;fadeIn&#8221; css=&#8221;.vc_custom_1604924288956{margin-bottom: 10px !important;padding-top: 10px !important;padding-bottom: 10px !important;background-color: #31363a !important;}&#8221; el_class=&#8221;cta-custom-element&#8221;][vc_column][vc_row_inner el_class=&#8221;cta-button&#8221;][vc_column_inner width=&#8221;2\/3&#8243;][vc_raw_html]PGRpdiBjbGFzcz0iY3RhLWltYWdlIj4KCTxpbWcgc3JjPSIvd3AtY29udGVudC91cGxvYWRzLzIwMTkvMTEvUHJvdHJvcGgtaWNvbi5zdmciIHN0eWxlPSJ3aWR0aDogNTBweDsiPgo8L2Rpdj4KPGRpdiBjbGFzcz0iY3RhLXRleHQiPgoJPHA+Q29udGFjdCB1cyB0byBib29rIGFuIGFwcG9pbnRtZW50PC9wPgo8L2Rpdj4=[\/vc_raw_html][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;][vc_btn title=&#8221;Contact&#8221; shape=&#8221;square&#8221; color=&#8221;green&#8221; align=&#8221;center&#8221; css=&#8221;.vc_custom_1665045078841{margin-top: 10px !important;}&#8221; link=&#8221;url:https%3A%2F%2Faboutskin.gr%2Fen%2Fepikoinonia%2F|title:Contact&#8221;][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row type=&#8221;vc_default&#8221; css=&#8221;.vc_custom_1571404390292{padding-top: 60px !important;padding-bottom: 60px !important;}&#8221;][vc_column width=&#8221;2\/3&#8243;][vc_column_text] It is a malignant neoplasm&#8230; Melanoma originating from melanocytes, the frequency of which is constantly increasing. It is usually found on the skin. It is the most common malignancy in women aged 25-29 and the second most common after breast cancer in women aged 30-35.&lt;\/p &gt; Early&hellip;<\/p>\n","protected":false},"author":1,"featured_media":57340,"parent":57869,"menu_order":40,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"yoast_head":"<title>Melanoma \u03c4\u03b9 \u03b5\u03af\u03bd\u03b1\u03b9 \u03ba\u03b1\u03b9 \u03c0\u03bf\u03c5 \u03b5\u03bd\u03c4\u03bf\u03c0\u03af\u03b6\u03b5\u03c4\u03b1\u03b9 | Aboutskin.gr<\/title>\n<meta name=\"description\" content=\"\u039c\u03b5\u03bb\u03ac\u03bd\u03c9\u03bc\u03b1 \u0395\u03af\u03bd\u03b1\u03b9 \u03c4\u03bf \u03c3\u03c5\u03c7\u03bd\u03cc\u03c4\u03b5\u03c1\u03bf \u03ba\u03b1\u03ba\u03bf\u03ae\u03b8\u03b5\u03c2 \u03bd\u03cc\u03c3\u03b7\u03bc\u03b1 \u03c3\u03c4\u03b9\u03c2 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