title: Guidelines of the Brazilian Dermatology Society for diagnosis, treatment and follow up of primary cutaneous melanoma--Part I.
abstract: The last Brazilian guidelines on melanoma were published in 2002. Development in diagnosis and treatment made updating necessary. The coordinators elaborated ten clinical questions, based on PICO system. A Medline search, according to specific MeSH terms for each of the 10 questions was performed and articles selected were classified from A to D according to level of scientific evidence. Based on the results, recommendations were defined and classified according to scientific strength. The present Guidelines were divided in two parts for editorial and publication reasons. In the first part, the following clinical questions were answered: 1) The use of dermoscopy for diagnosis of primary cutaneous melanoma brings benefits for patients when compared with clinical examination? 2) Does dermoscopy favor diagnosis of nail apparatus melanoma? 3) Is there a prognostic difference when incisional or excisional biopsies are used? 4) Does revision by a pathologist trained in melanoma contribute to diagnosis and treatment of primary cutaneous melanoma? What margins should be used to treat lentigo maligna melanoma and melanoma in situ?
authors.affiliation: Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
authors.forename: Luiz Guilherme Martins
authors.initials: LG
authors.lastname: Castro
authors.affiliation: Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
authors.forename: Maria Cristina
authors.initials: MC
authors.lastname: Messina
authors.affiliation: Universidade Estadual do Pará, Belém, SP, Brazil.
authors.forename: Walter
authors.initials: W
authors.lastname: Loureiro
authors.affiliation: Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
authors.forename: Ricardo Silvestre
authors.initials: RS
authors.lastname: Macarenco
authors.affiliation: Departamento de Câncer de Pele, A. C. Camargo Cancer Center, São Paulo, SP, Brazil.
authors.forename: João Pedreira
authors.initials: JP
authors.lastname: Duprat Neto
authors.affiliation: Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
authors.forename: Thais Helena Bello
authors.initials: TH
authors.lastname: Di Giacomo
authors.affiliation: Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
authors.forename: Flávia Vasques
authors.initials: FV
authors.lastname: Bittencourt
authors.affiliation: Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil.
authors.forename: Renato Marchiori
authors.initials: RM
authors.lastname: Bakos
authors.affiliation: Universidade Estácio de Sá, Rio de Janeiro, RJ, Brazil.
authors.forename: Sérgio Schrader
authors.initials: SS
authors.lastname: Serpa
authors.affiliation: Universidade Estadual Paulista, Botucatu, SP, Brazil.
authors.forename: Hamilton Ometto
authors.initials: HO
authors.lastname: Stolf
authors.affiliation: Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
authors.forename: Gabriel
authors.initials: G
authors.lastname: Gontijo
mesh_terms: D001706:Biopsy; D001938:Brazil; D046169:Dermoscopy; D006801:Humans; D008545:Melanoma / Q000175:diagnosis* / Q000628:therapy*; D011379:Prognosis; D012878:Skin Neoplasms / Q000175:diagnosis* / Q000628:therapy*