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Diagnosis and management of stage I/II melanoma
Lynne A Lamb1, Allan C Halpern, Wen-Jen Hwu
1Department of Internal Medicine, Memorial Sloan-Kettering Cancer Center, 1275 York Ave, New York, NY 10021, USA.
Objectives:
To describe the clinical features and histologic subtypes of cutaneous melanoma; to review the diagnosis, clinical, and pathologic staging of melanoma and the associated prognostic factors; and to review the treatment and management of AJCC stage I and II melanoma.
Data Sources:
Scientific and review articles, textbooks, and clinical practice.
Conclusions:
Management of melanoma depends on accurate diagnosis, staging, and interpretation of prognostic factors. The treatment of choice for stage I and II melanoma is surgery, ranging from simple excision to lymph node dissection.
Implications For Nursing Practice:
Familiarity with the clinical features of melanoma assists nurses in the screening and early detection of melanoma. Knowledge of AJCC staging guides education regarding treatment and lifelong surveillance.