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MELANOMA MALIGNO
Qu es un Melanoma Maligno. ?
Es un tipo de cncer de la piel que es
debido a crecimiento anormal y
diseminacin de melanocitos en la piel.
NEVUS O LUNAR
MELANOMA MALIGNO
Factores de Riesgo
Anatoma Patolgica
Melanoma de extensin superficial
Anatoma Patolgica
Melanoma Maligno Nodular
Anatoma Patolgica
Lentigo Maligno Melanoma
Anatoma Patolgica
Lentigo Maligno Acral
Clnica
A- Lesin Asimtrica
B- Bordes Irregulares
C- Aspecto Multicolor
D- Dimetro Mayor de 6 cm.
E- Ulceracin superficial
Laboratorio
Radiografa de Trax
Pruebas de Funcin Heptica
Tomografa de emisin de Positrones
Estadios
< 1 mm
1 2 mm
2 4 mm
> 4 mm
Regional lymph nodes for skin sites of the head and neck.
Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer, 2012. American Joint Committee on Cancer
Schematic indicating the location of the lymph node levels in the neck as
described in Table 31.1.
Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer, 2012. American Joint Committee on Cancer
Less common clinical or sentinel nodal metastasis. Illustrated is a distal forearm primary
tumor with involvement of the epitrochlear node.
Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer, 2012. American Joint Committee on Cancer
Less common clinical or sentinel nodal metastasis. Illustrated is a posterior calf primary
tumor with involvement of the popliteal nodes.
Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer, 2012. American Joint Committee on Cancer
Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer, 2012. American Joint Committee on Cancer
Two mitotic figures in a melanoma (arrow heads). Assessment of the number of mitoses
per square millimeter used to determine the prognostically relevant mitotic rate.
Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer, 2012. American Joint Committee on Cancer
Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer, 2012. American Joint Committee on Cancer
Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer, 2012. American Joint Committee on Cancer
Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer, 2012. American Joint Committee on Cancer
Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer, 2012. American Joint Committee on Cancer
Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer, 2012. American Joint Committee on Cancer
Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer, 2012. American Joint Committee on Cancer
Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer, 2012. American Joint Committee on Cancer
Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer, 2012. American Joint Committee on Cancer
Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer, 2012. American Joint Committee on Cancer
Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer, 2012. American Joint Committee on Cancer
Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer, 2012. American Joint Committee on Cancer
Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer, 2012. American Joint Committee on Cancer
N2c is defined as satellite* (including microsatellite**) or in transit metastasis without nodal metastasis. This figure illustrates an in transit metastasis, which is defined as clinically evident cutaneous
and/or subcutaneous metastases identified at a distance greater than 2 cm from the primary melanoma in the region between the primary and the first echelon of regional lymph nodes.
*Satellites are defined as grossly visible cutaneous and/or subcutaneous metastases occurring within 2 cm of the primary melanoma.
**Microsatellites are defined as any discontinuous nest of intralymphatic metastatic cells >0.05 mm in diameter that are clearly
separated by normal dermis (not fibrosis or inflammation) from the main invasive component of melanoma by a
distance of at least 0.3 mm.
Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer, 2012. American Joint Committee on Cancer
Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer, 2012. American Joint Committee on Cancer
N1 disease is defined as regional lymph node metastasis while M1a disease involves
distant metastasis to lymph nodes beyond the region of the primary tumor.
Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer, 2012. American Joint Committee on Cancer
Stage of disease as determined by lymph node involvement relative to the location of the primary tumor. The
shaded areas indicate involvement of regional lymph nodes or N1 disease (Stage III). Nonshaded areas
indicate distant metastasis to lymph nodes outside the primary tumor or M1a disease (Stage IV).
Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer, 2012. American Joint Committee on Cancer
Stage of disease as determined by lymph node involvement relative to the location of the primary tumor. The
shaded areas indicate involvement of regional lymph nodes or N1 disease (Stage III). Nonshaded areas
indicate distant metastasis to lymph nodes outside the primary tumor or M1a disease (Stage IV).
Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer, 2012. American Joint Committee on Cancer
Stage of disease as determined by lymph node involvement relative to the location of the primary tumor. The
shaded areas indicate involvement of regional lymph nodes or N1 disease (Stage III). Nonshaded areas
indicate distant metastasis to lymph nodes outside the primary tumor or M1a disease (Stage IV).
Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer, 2012. American Joint Committee on Cancer
Stage of disease as determined by lymph node involvement relative to the location of the primary tumor. The shaded
areas indicate involvement of regional lymph nodes or N1 disease (Stage III). Metastasis to either the axillary or
inguinal lymph nodes are both considered N1 (Stage III) disease due to the location of the primary tumor directly
in the center of the torso.
Compton, C.C., Byrd, D.R., et al., Editors. AJCC CancerStaging Atlas, 2nd Edition. New York: Springer, 2012. American Joint Committee on Cancer
Biopsia
1.- Escisional
2.- Incisional (Punch)
Inmunohistoqumica
1.- S-100
2.- HMB-45
Tratamiento Local
Mrgenes
Finos - 1 mm -------------- 1 cm
Intermedio -1 - 4 mm ------ 2 cm
Grueso - ms de 4 mm ----- 2cm
Tratamiento Local
Cierre
a) Primario
b) Injerto
c) Colgajos locales
d) Colgajos a distancia
Tratamiento Local
Localizaciones Especiales
a) Dedos de las manos o de los pies
b) Planta del pie
c) Cara
d) Mama
Tratamiento Local
Situaciones clnicas especiales
Nevus congnito gigantes
Melanoma de las mucosas
Melanoma desmoplasico
Embarazo
Terapia Adyuvante
Terapia biolgica
Radioterapia
Quimioterapia
Tratamiento de la Enfermedad
Metastasica
Ciruga
Radioterapia
Quimioterapia
Terapia Biolgica