Skip to content

Melanoma/Skin Cancer Health Center

Patients Find Most Melanomas -- But Doctors Find Them Earlier

Font Size
A
A
A

WebMD Health News

By Jim Morelli
WebMD Medical News


November 16, 1999 (Atlanta) -- Patients may do a good job of finding melanomas on their own, but a recent study finds that doctors more often detect the dangerous skin tumors at an earlier stage, when treatment may be most effective.

As reported in the Journal of the American Medical Association, the researchers questioned 102 patients who were diagnosed with primary cutaneous melanoma -- that is, a tumor confined to the skin. Fifty-five percent of the patients reported that they were the first to notice the tumor, vs. 24% who said their doctor found it. The remaining tumors were detected by spouses or others.

But the researchers found that the doctor-detected tumors tended to be thinner -- an extremely important factor when dealing with melanoma. "In patients who have no evidence of tumor spread elsewhere in their body, the most important prognostic factor is tumor thickness," Susan Koch, MD, tells WebMD. In other words, the thinner the tumor, the better the patient will likely fare in terms of survival. Koch is one of the study researchers and a professor of dermatology at Oregon Health Sciences University, Portland, Ore.

The special expertise of doctors at detecting melanomas is the reason the researchers recommend that all doctors routinely check patients? skin -- even if that?s not the reason the patients came into the office in the first place. "There are a number of cases where melanomas were found incidentally when patients were seeing a clinician for something totally unrelated," says Julie R. Lange, MD, an assistant professor of surgery at Johns Hopkins School of Medicine in Baltimore who was contacted for commentary on the study. "We?d like to encourage that kind of general surveillance."

The study finds that doctors were especially important in detecting tumors on the back and buttocks -- places patients have trouble seeing -- and far more likely to have speedy biopsies done. In fact, just 16% of patient-found tumors were biopsied within a month, compared with 83% of those found by doctors.

 

Today on WebMD

Malignant melanoma
About 40-50 percent of those who live to be 65 may get it. Here’s how to spot early.
Woman checking out tan lines
There’s a dark side to that strive for beauty. See them here.
 
sauteed cherry tomatoes
Fight cancer one plate at a time.
Lung cancer xray
See it in pictures, plus read the facts.
 
12 Ways to Protect Your Skin from Melanoma
ARTICLE
precancerous lesions slideshow
SLIDESHOW
 
Do You Know Your Melanoma ABCs
VIDEO
15 Cancer Symptoms Men Ignore
ARTICLE
 
screening tests for men
SLIDESHOW
Vitamin D
SLIDESHOW
 
Is That Mole Skin Cancer
VIDEO
Brilliant sun rays
Quiz
 

WebMD Special Sections