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Melanom

Sist oppdatert: Sist revidert:
Sist revidert av:
Definisjon:
Ondartet svulst utgått fra melanocytter, oftest utgått fra basallaget i epidermis, kan også utgå fra slimhinner eller øye
Forekomst:
Rundt 2300 nye tilfeller årlig i Norge. Norge er på femteplass på verdensbasis når det gjelder aldersjustert insidens
Symptomer:
Rask tilkomst av en ny pigmentert lesjon, eventuelt endringer i en eksisterende nevus 
Funn:
ABCD(E)-regelen og "the ugly duckling sign". Mistanke ved lesjon >6 mm som er asymmetrisk med uskarp avgrensning, fargevariasjon eller har endret seg siste tid
Diagnostikk:
Eksisjonsbiopsi til histopatologisk undersøkelse
Behandling:
Hovedbehandlingen er kirurgi. Adjuvant immunterapi ved stadium ≥ IIC. Ved inoperabel sykdom immunterapi, kjemoterapi, strålebehandling
  • Nasjonalt handlingsprogram med retningslinjer for diagnostikk, behandling og oppfølging av maligne melanomer, Helsedirektoratet, 2020.
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  • Silje Folven Barlindhaug, spesialist i allmennmedisin, redaktør NEL

Tidligere fagmedarbeidere

  • Sylvi Torvund, spesialist i allmennmedisin, Nidarvoll legesenter, Trondheim
  • Kristin Ryggen, overlege, Hudavdelingen, Regionsykehuset i Trondheim