Author/Editor		Planinšek Ručigaj, Tanja; Žgavec, Borut; Vučinič Dugonik, Aleksandra; Benedičič, Ana; Luft, Sandi; Zagoričnik, Blanka
Title		Vloga dermatologa pri diagnostiki in obravnavi bolnika z melanomom
Translated title		The role of the dermatologist in the diagnosis and management of melanoma patient
Type		članek
Source		In: Luzar B, Jurčić V, Pižem J, et al, editors. Novosti v dermatopatologiji. 40. memorialni sestanek profesorja Janeza Plečnika z mednarodnim simpozijem; 2009 dec 3-4; Ljubljana. Ljubljana: Univerza v Ljubljani, Medicinska fakulteta,
Publication year		2009
Volume		str. 307-14
Language		slo
Abstract		The incidence of skin malignant melanoma in Slovenia and worldwide has increased in the last decade more than previously. The development of malignant melanoma is genetically determined and influenced by environmental factors, in particular ultraviolet radiation. Some phenotypical characteristics of the skin and hair as well as increased number of acquired melanocitic naevi are associated with an increased risk of skin malignant melanoma. The role of dermatologist is an early detection of malignant melanoma, identification of individuals with a high risk of developing malignant melanoma and their follow-up. Dermatological follow-up is indicated also in patients following treatment of malignant melanoma to detect recurrent disease. Associations of dermatologists around the world and in Slovenia provide and carry out primary and secondary prevention programmes that result in prevention and early detection of skin malignant melanoma and skin cancer in general. As evidenced by new insights in the pathogenesis of malignant melanoma, individualized primary and secondary preventive measures of malignant melanoma is needed.
Summary		Incidenca kožnega malignega melanoma se v zadnjem desetletju uvršča v skupino incidenc, ki se večajo najhitreje, tako v svetu kot tudi v Sloveniji. Razvoj malignega melanoma je gensko determiniran, neugoden vpliv pa imajo tudi dejavniki iz okolja, zlasti ultravijolično sevanje. Določene fenotipske značilnosti kože in las ter razvoj povečanega števila melanocitnih nevusov na koži so povezani z večjim tveganjem za razvoj malignega melanoma. Vloga dermatologa pri obravnavi bolnika z malignim melanomom je zgodnje odkrivanje bolezni in opredelitev ter spremljanje posameznikov z visokim tveganjem za razvoj bolezni skozi življenje. Dermatološko spremljanje je zaradi možnosti recidiva bolezni indicirano tudi pri bolnikih po zdravljenju melanoma. Združenja dermatologov v svetu in pri nas so nosilci oblikovanja in izvajanja programov primarne in sekundarne preventive, katerih rezultat je preprečevanje in zgodnje odkrivanje malignega melanoma in kožnega raka nasploh. Nova spoznanja potrjujejo patogensko raznolikost malignega melanoma, kar kaže potrebo po spremembah in individualizaciji ukrepov primarne in sekundarne preventive malignega melanoma.
Descriptors		MELANOMA MELANOMA