Advise on sun protection and prevention
Age range chart
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0-9 |
10-14 |
15-19 |
20-24 |
25-29 |
30-34 |
35-39 |
40-44 |
45-49 |
50-54 |
55-59 |
60-64 |
65-69 |
70-79 |
>80 |
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Screen increased-risk and high-risk patients
Age range chart
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0-9 |
10-14 |
15-19 |
20-24 |
25-29 |
30-34 |
35-39 |
40-44 |
45-49 |
50-54 |
55-59 |
60-64 |
65-69 |
70-79 |
>80 |
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Clinical assessment of future risk of melanoma should take into account:60
- patient’s age and sex
- history of previous melanoma or NMSC
- number of naevi (common and atypical)
- family history of melanoma
- skin and hair pigmentation
- response to sun exposure
- evidence of actinic skin damage.
There are no sufficiently well-validated risk models to assess the combined effects of all these factors.63
Skin self-examination should be encouraged for high-risk individuals every three months and clinical examination every six months (B).63,64
Implementation
GPs over-excise pigmented lesions in people who are younger (aged <40 years) or female, in whom they excise more benign lesions.75 GPs should be more suspicious of skin lesions in men aged >50 years.75