When do you know if your mole or that thing on your skin is bad?
A: asymmetry
B: border irregularity
C: colour variegation
D: diameter >6mm
E: elevation
F: fwah... Itchy.... Must scratch
Risk factors:
Congenital naevi >5
Multiple naevi
Dysplastic naevi
Heavy exposure to sunlight
Tanning
Family History
Fair complexion
Immunosupression
If you have this, dun get pregnant and dun take L-dopa.
Types:
Lentigo maligna: ah peh's face 10%
Superficial spreading 70%
Nodular 15%
Acral lentiginous 5%
Ocular
Only the nodular type spreads vertically.
2 classifications:
Breslow: based on LN
Clark's: based on depth of invasion.
Prognosis:
Female better
Trunk worse
Mets means you are confirmed dead. Mets to brains lymph nodes lungs. Can be non contiguous.
No spread means 70% survival at 5 years.
