By J. A. H. Lee (auth.), Nigel Kirkham, Dennis W. K. Cotton, Roger C. Lallemand, John E. White, R. David Rosin (eds.)
In the decade there was no significant scientific mono- graph in this more and more universal and hard malignancy that is a killer of youth. the space within the literature is now stuffed through this authoritative volumewhich should be crucial analyzing for any physique serious about the examine or administration of melanoma.
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Example text
It would be unreasonable to expect an aide-memoire such as the seven-point check list to be specific at diagnosing melanomas but one would insist that it be sufficiently sensitive so as never to miss a melanoma. A number of authors have attempted to validate the seven-point checklist and have found areas of deficiency (Keefe et al. 1990a; du Vivier et al. 1990; Higgins et al. 1991). One of these studies (du Vivier et al. 1990) was particularly critical of the choice of 1 cm or more being the important determinant of size since only 50 out of 100 melanomas in their series were as large as this.
Not rough Rough keratin on surface Not scaly Hairy FILIFORM WARTS Usually face On stalk Single / (usuaIlY<35) COMPOUND/ INTRADERMAL NAEVUS ~ Round (3-15 mm) COMMON WART I Dome shaped Vertical sides Skin colour Pigmented / Linear/irreg >2cm >2cm diameter Occurs any age J"I PLANE WARTS grouped Flat surface MUltiple SKIN TAGS Axilla/ neck MUltiple Pedunculated SEBORRHOEIC WART Keratin plugs in surface Appear 'stuck on' Plateau shape ~ ~V;I~~U~~meter Appears over age 35 ~ / Very small (1-2 mm) ~~ Appears age 0-10 Present at birth Non-erythematous lesions Warty (papillomatous) surface Papules, plaques and nodules Brown/skin colour w 3~ " ;;; ::I o ~ -.
There are centres in Europe and the United States working separately on this subject. It is the author's view that we should pool our resources and particularly our databases of clinical photographs so that we can all refine our methods and share useful techniques. The following is an account of some preliminary results from a collaborative study between the Blond McIndoe Centre for Medical Research, East Grinstead, and the School of Computer Science at Birmingham University. In order that clinical photographs can meaningfully be compared in an objective way a calibrating scale showing a linear scale and a scale of neutral grey values across the spectrum from black to white must be included in the picture.