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Development of a practical guide for the early recognition for malignant melanoma of the foot and nail unit

Development of a practical guide for the early recognition for malignant melanoma of the foot and nail unit
Development of a practical guide for the early recognition for malignant melanoma of the foot and nail unit
Background: malignant melanoma is a rare but potentially lethal form of cancer which may arise on the foot. Evidence suggests that due to misdiagnosis and later recognition, foot melanoma has a poorer prognosis than cutaneous melanoma elsewhere.

Methods: a panel of experts representing podiatry and dermatologists with a special interest in skin oncology was assembled to review the literature and clinical evidence to develop a clinical guide for the early recognition of plantar and nail unit melanoma.

Results: a systematic review of the literature revealed little high quality data to inform the guide. However a significant number of case reports and series were available for analysis. From these, the salient features were collated and summarised into the guide. Based on these features a new acronym "CUBED" for foot melanoma was drafted and incorporated in the guide.

Conclusions: the use of this guide may help clinicians in their assessment of suspicious lesions on the foot (including the nail unit). Earlier detection of suspicious pedal lesions may facilitate earlier referral for expert assessment and definitive diagnosis. The guide is currently being field tested amongst practitioners
1757-1146
1-4
Bristow, Ivan R.
f1974879-83d4-4944-8c4b-dddc51e71a22
de Berker, David
294a3ad4-a1a4-4340-8359-1b1dcd7455d5
Bristow, Ivan R.
f1974879-83d4-4944-8c4b-dddc51e71a22
de Berker, David
294a3ad4-a1a4-4340-8359-1b1dcd7455d5

Bristow, Ivan R. and de Berker, David (2010) Development of a practical guide for the early recognition for malignant melanoma of the foot and nail unit. Journal of Foot and Ankle Research, 3 (22), 1-4. (doi:10.1186/1757-1146-3-22). (PMID:20920168)

Record type: Article

Abstract

Background: malignant melanoma is a rare but potentially lethal form of cancer which may arise on the foot. Evidence suggests that due to misdiagnosis and later recognition, foot melanoma has a poorer prognosis than cutaneous melanoma elsewhere.

Methods: a panel of experts representing podiatry and dermatologists with a special interest in skin oncology was assembled to review the literature and clinical evidence to develop a clinical guide for the early recognition of plantar and nail unit melanoma.

Results: a systematic review of the literature revealed little high quality data to inform the guide. However a significant number of case reports and series were available for analysis. From these, the salient features were collated and summarised into the guide. Based on these features a new acronym "CUBED" for foot melanoma was drafted and incorporated in the guide.

Conclusions: the use of this guide may help clinicians in their assessment of suspicious lesions on the foot (including the nail unit). Earlier detection of suspicious pedal lesions may facilitate earlier referral for expert assessment and definitive diagnosis. The guide is currently being field tested amongst practitioners

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Published date: 28 September 2010

Identifiers

Local EPrints ID: 166281
URI: https://eprints.soton.ac.uk/id/eprint/166281
ISSN: 1757-1146
PURE UUID: 2acb0f9b-74dc-4c2f-a93e-1378610ffe48

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Date deposited: 27 Oct 2010 08:10
Last modified: 18 Jul 2017 12:25

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