Early diagnosis and treatment of melanoma are crucial to maximise the chances of a favourable outcome.
- Early diagnosis of melanoma is crucial and is enhanced by identification of high-risk groups and appropriate surveillance. In addition to regular full skin examination, total body photography and sequential digital dermoscopic imaging are useful in selected patients.
- Dermoscopy significantly improves diagnostic accuracy for melanoma and other skin lesions.
- Clinicians should be aware of atypical presentations (e.g. amelanotic, hypopigmented and nodular melanomas), which are often the most aggressive forms.
- Excisional biopsy is the ideal biopsy method for suspicious lesions, allowing wide local excision to be based on accurate Breslow thickness.
- Referral of patients to a multidisciplinary melanoma unit should be considered.
- Careful follow up is important to detect disease recurrence and subsequent primary melanomas.