{"id":7676,"date":"2021-01-25T08:58:14","date_gmt":"2021-01-25T07:58:14","guid":{"rendered":"https:\/\/dermatim.rs\/?post_type=dermatologija&#038;p=7676"},"modified":"2023-11-14T15:00:32","modified_gmt":"2023-11-14T14:00:32","slug":"melanoma","status":"publish","type":"dermatologija","link":"https:\/\/dermatim.rs\/en\/dermatology-in-belgrade\/melanoma\/","title":{"rendered":"Melanoma"},"content":{"rendered":"\r\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\r\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><strong>Melanoma<\/strong> is a skin cancer that begins in the melanocytes, cells that produce moles.\r\n\r\n <a href=\"https:\/\/dermatim.rs\/en\/dermatology-in-belgrade\/moles\/\">Healthy moles<\/a> can be elevated or flat, brown or dark brown, of even shape and up to 1 cm in diameter. When a mole appears and reaches its size, it stops changing and remains the same throughout life.\r\n\r\n <a href=\"https:\/\/dermatim.rs\/en\/dermatology-in-belgrade\/dermoscopy\/\">Dermoscopy<\/a> is desirable once in 12 to 18 months.\r\n\r\n <a href=\"https:\/\/dermatim.rs\/en\/dermatology-in-belgrade\/moles\/\">Moles<\/a> with irregular shape can still be healthy, but in that case we call them atypical or dysplastic moles, and they should be followed and checked once every 6 months. This is the shortest period of time in which dysplastic mole can start changing into melanoma. The exceptions are lesions that are above the surface of the skin, similar to peas. We never follow such lesions because their cells change very quickly and sometimes a period of one month can be crucial.\r\n\r\n<\/div>\r\n \r\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\r\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"930\" class=\"wp-image-1229\" title=\"Malignant melanoma\" src=\"https:\/\/dermatim.rs\/wp-content\/uploads\/2021\/01\/dermatim-melanom-1024x930.jpg\" alt=\"Malignant melanoma\" srcset=\"https:\/\/dermatim.rs\/wp-content\/uploads\/2021\/01\/dermatim-melanom-1024x930.jpg 1024w, https:\/\/dermatim.rs\/wp-content\/uploads\/2021\/01\/dermatim-melanom-300x272.jpg 300w, https:\/\/dermatim.rs\/wp-content\/uploads\/2021\/01\/dermatim-melanom-768x698.jpg 768w, https:\/\/dermatim.rs\/wp-content\/uploads\/2021\/01\/dermatim-melanom.jpg 1101w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><figcaption class=\"wp-element-caption\">Malignant melanoma<\/figcaption><\/figure>\r\n<\/div>\r\n<\/div>\r\n \r\n<h2 id=\"headline-9-1224\" class=\"wp-block-heading\">How to recognize a melanoma?<\/h2>\r\n \r\n\r\nThere is an <strong>ABCDE<\/strong> <strong>rule<\/strong> in the development of melanoma, which should be a guideline for self-exam:\r\n\r\n \r\n\r\n<strong>A<\/strong> &#8211; <strong>Asymmetry<\/strong>, one half is unlike the other half\r\n<strong>B<\/strong> &#8211; <strong>Border<\/strong>, irregular, scalloped, or poorly defined border\r\n<strong>C<\/strong> &#8211; <strong>Colour<\/strong>, varied from one area to another (shades of red, black, grey and blue)\r\n<strong>D<\/strong> \u2013 <strong>Diameter<\/strong>, 6mm or larger although melanoma can sometimes be smaller than 6mm\r\n<strong>E<\/strong> &#8211; <strong>Evolution<\/strong>, changing in colour, shape, or size\r\n\r\n \r\n\r\nUnfortunately, not all melanomas have these characteristics. Any change in the colour, shape or size of a mole should alert us to see a doctor.\r\n\r\n \r\n\r\nItching, pain, blood are definitely warning signs. Persistent itching of the mole can be caused by eczema (Meyerson naevus), but it can also be a precursor to pain.\r\n\r\n \r\n\r\nIf you notice the development of a new <a href=\"https:\/\/dermatim.rs\/en\/dermatology-in-belgrade\/moles\/\">mole<\/a>, and are more than 25 years old, you should check if the mole has even structure. It is almost impossible to do it without dermoscopy.\r\n\r\n \r\n\r\nMalignant melanoma rarely has the same colour as the skin, and then it looks like a small wound that will not heal. Such lesions must be sent for pathohistological analysis, even if they seem harmless.\r\n\r\n \r\n<h2 id=\"headline-11-1224\" class=\"wp-block-heading\">What to do if we suspect or notice a change?<\/h2>\r\n \r\n\r\nIt is necessary to consult a dermatologist or a surgeon who performs <a href=\"https:\/\/dermatim.rs\/en\/dermatology-in-belgrade\/dermoscopy\/\">dermoscopy<\/a>.\r\n\r\n \r\n\r\nDermoscope is a special device used to examine moles. Polarized light and 100x magnification allow you to see the deeper structure of the mole. With a dermoscope, it is possible to see changes in a mole two years before they can be seen with the naked eye.\r\n\r\n \r\n\r\nIf a physician thinks that it is necessary to <a href=\"https:\/\/dermatim.rs\/en\/minor-surgical-interventions\/mole-removal\/\">remove the mole<\/a>, it should be done as soon as possible. <strong>Malignant melanoma<\/strong> is one of the few cancers that can be completely cured when they are in the zero phase. In the zero phase, there are atypical cells and they have the same distribution as in melanoma, but they have not entered the basal membrane zone. With complete removal, the patient is 100% cured.\r\nDelaying the intervention leads to the transition of cells towards the deeper layers of the skin and subcutaneous tissue.\r\n\r\n \r\n\r\nThe only correct way to remove moles when melanoma is suspected is using <a href=\"https:\/\/dermatim.rs\/en\/minor-surgical-interventions\/mole-removal\/\">surgery<\/a>. When melanoma is suspected, the surgical intervention is performed in such a way as to encompass a wider and deeper area than when a healthy <a href=\"https:\/\/dermatim.rs\/en\/dermatology-in-belgrade\/moles\/\">mole<\/a> is removed.\r\n\r\n","protected":false},"excerpt":{"rendered":"<p>Melanoma is a skin cancer that begins in the melanocytes, cells that produce moles. Healthy<\/p>\n","protected":false},"author":14,"featured_media":0,"comment_status":"closed","ping_status":"closed","template":"","class_list":["post-7676","dermatologija","type-dermatologija","status-publish"],"acf":[],"_links":{"self":[{"href":"https:\/\/dermatim.rs\/en\/wp-json\/wp\/v2\/dermatologija\/7676","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dermatim.rs\/en\/wp-json\/wp\/v2\/dermatologija"}],"about":[{"href":"https:\/\/dermatim.rs\/en\/wp-json\/wp\/v2\/types\/dermatologija"}],"author":[{"embeddable":true,"href":"https:\/\/dermatim.rs\/en\/wp-json\/wp\/v2\/users\/14"}],"replies":[{"embeddable":true,"href":"https:\/\/dermatim.rs\/en\/wp-json\/wp\/v2\/comments?post=7676"}],"wp:attachment":[{"href":"https:\/\/dermatim.rs\/en\/wp-json\/wp\/v2\/media?parent=7676"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}