X

Download Staging Moments Melanoma PowerPoint Presentation


Login   OR  Register
X

Share page



  Preview

               
Home / Health & Wellness / Health & Wellness Presentations / Staging Moments Melanoma PowerPoint Presentation

Staging Moments Melanoma PowerPoint Presentation

onlinesearch By : onlinesearch

On : Feb 24, 2014

In : Health & Wellness

Embed :
332
views

0
downloads
Login / Signup - with account for


  • → Make favorite
  • → Flag as inappropriate
  • → Download Presentation
  • → Share Presentation
  • Slide 1 - AJCC Staging Moments AJCC TNM Staging 7th Edition Melanoma Case #1 Contributors: Jeffrey E. Gershenwald, MD University of Texas MD Anderson Cancer Center, Houston, Texas Daniel G. Coit, MD Memorial Sloan-Kettering Cancer Center, New York, New York Charles M. Balch, MD Johns Hopkins Medical Center, Baltimore, Maryland David R. Byrd, MD University of Washington Medical Center, Seattle, Washington
  • Slide 2 - Melanoma Case # 1 Presentation of New Case Newly diagnosed melanoma patient Presentation at Cancer Conference for treatment recommendations and clinical staging
  • Slide 3 - Melanoma Case # 1 History & Physical 83 yr old female who presented with a 2cm maximal diameter brown lesion right cheek over the right malar eminence, no ulceration, no cervical lymphadenopathy No family hx Used with permission. Marghoob A, Halpern A. Atlas of Cancer. Edited by Maurie Markman, Ashfaq A. Marghoob. ©2002 Current Medicine, Inc.
  • Slide 4 - Melanoma Case # 1 Imaging Results No imaging
  • Slide 5 - Melanoma Case # 1 Diagnostic Procedure Procedure Excision skin lesion rt cheek Pathology Report Melanoma in situ Lentigo maligna type Radial margin involved
  • Slide 6 - Melanoma Case # 1 Clinical Staging Clinical staging Uses information from the physical exam, imaging, and diagnostic biopsy Purpose Select appropriate treatment Estimate prognosis
  • Slide 7 - Melanoma Case # 1 Clinical Staging Synopsis- elderly patient with 2cm maximal diameter melanoma in situ lesion with margins involved, no lymphadenopathy What is the clinical stage? T____ N____ M____ Stage Group______
  • Slide 8 - Melanoma Case # 1 Clinical Staging Clinical Stage correct answer pTis cN0 cM0 Stage Group 0 Based on stage, treatment is selected Review NCCN treatment guidelines for this stage
  • Slide 9 - Melanoma Case # 1 Clinical Staging Rationale for staging choices Tis for carcinoma in situ N0 because nodes were clinically negative on physical exam * M0 because there was nothing to suggest distant metastases * * if there was, appropriate tests would be performed before developing a treatment plan
  • Slide 10 - Prognostic Factors Clinically Significant Applicable to this case Ulceration: no
  • Slide 11 - ppt slide no 11 content not found
  • Slide 12 - Melanoma Case # 1 Surgery & Findings Procedure Re-excision skin lesion with 5mm margin Operative findings No additional information
  • Slide 13 - Melanoma Case # 1 Pathology Results Residual melanoma in situ Lentigo maligna type Clark’s Level I Extends close to radial margins
  • Slide 14 - Melanoma Case # 1 Pathologic Staging Pathologic staging Uses information from the clinical staging supplemented or modified by information from surgery and the pathology report Purpose Additional precise data for estimating prognosis Calculating end results (survival data)
  • Slide 15 - Melanoma Case # 1 Pathologic Staging Synopsis- patient with melanoma in situ, Clark’s level I lesion, no nodes removed, clinically nodes negative What is the pathologic stage? (remember, clinical M may be used in pathologic staging) T____ N____ M____ Stage Group______
  • Slide 16 - Melanoma Case # 1 Pathologic Staging Pathologic Stage correct answer pTis cN0 cM0 Stage Group 0 Based on pathologic stage, there is more information to estimate prognosis and adjuvant treatment is selected
  • Slide 17 - Melanoma Case # 1 Pathologic Staging Rationale for staging choices pTis for carcinoma in situ cN0 because there is an exception for pathologic Stage 0 and Stage IA, they do not require pathologic evaluation of nodes cM0 – use clinical M with pathologic staging unless there is pathologic confirmation of distant metastases
  • Slide 18 - Prognostic Factors Clinically Significant Applicable to this case Ulceration: no There are no prognostic factors required for staging
  • Slide 19 - AJCC Cancer Staging Atlas Tis is melanoma in situ
  • Slide 20 - Melanoma Case # 1 Recap of Staging Summary of correct answers Clinical stage pTis cN0 cM0 Stage Group 0 Pathologic stage pTis cN0 cM0 Stage Group 0 The staging classifications have a different purpose and therefore can be different. Do not go back and change the clinical staging based on pathologic staging information.
  • Slide 21 - Staging Moments Summary Review site-specific information if needed Clinical Staging Based on information before treatment Used to select treatment options Pathologic Staging Based on clinical data PLUS surgery and pathology report information Used to evaluate end-results (survival)
Quit Smoking Free PowerPoint Template

Quit Smoking

Views : 251

Doctor Free PowerPoint Template

Doctor

Views : 203

Union Free PowerPoint Template

Union

Views : 246

Success Free PowerPoint Template

Success

Views : 256

Massage SPA Free PowerPoint Template

Massage SPA

Views : 371

Email Free PowerPoint Template

Email

Views : 172

Germ Free PowerPoint Template

Germ

Views : 425

Dentist Free PowerPoint Template

Dentist

Views : 91

Swans Free PowerPoint Template

Swans

Views : 179

Earth Free PowerPoint Template

Earth

Views : 199

Gym Free PowerPoint Template

Gym

Views : 265

Pigeon Free PowerPoint Template

Pigeon

Views : 190

Airplane Free PowerPoint Template

Airplane

Views : 99

Morning Running Free PowerPoint Template

Morning Running

Views : 317

Dental Brush Free PowerPoint Template

Dental Brush

Views : 192

Aids Free PowerPoint Template

Aids

Views : 266

Female Mosquito Free PowerPoint Template

Female Mosquito

Views : 116

Easter Eggs Free PowerPoint Template

Easter Eggs

Views : 245

Virtual Identity Free PowerPoint Template

Virtual Identity

Views : 174

Vegetables Free PowerPoint Template

Vegetables

Views : 275

Description : Available Staging Moments Melanoma powerpoint presentation for free download which is uploaded by search an active user in belonging ppt presentation Health & Wellness category.

Tags : Staging Moments Melanoma

Shortcode : Get Shareable link