Consensus Statement
Initial Evaluation, Diagnosis, Staging, Treatment, and Follow-up of Patients with Primary Cutaneous Malignant Melanoma. Consensus Statement of the Network of Catalan and Balearic Melanoma Centers
Valoración inicial, diagnóstico, estadificación, tratamiento y seguimiento de los pacientes con melanoma maligno primario de la piel. Documento de consenso de la “Xarxa de Centres de Melanoma de Catalunya i Balears”
C. Mangasa,
, C. Paradeloa, S. Puigb, F. Gallardoc, J. Marcovald, A. Azone, R. Bartralotf, S. Belg, X. Bigatàh, N. Curcói, J. Dalmauj, L.J. del Pozok, C. Ferrándiza, M. Formigónl, A. Gonzálezm, M. Justn, A. Llambricho, E. Llistosellap, J. Malvehyq, R.M. Martír..., M.E. Noguéss, R. Pedragosat, V. Rocamorau, M. Sàbatv, M. SalleraswVer más
Corresponding author
a Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain
b Unitat de Melanoma, Hospital Clínic i Provincial de Barcelona, Barcelona, Spain
c Hospital del Mar, IMIM, Barcelona, Spain
d Hospital Universitari de Bellvitge, Barcelona, Spain
e Hospital Sant Joan de Reus, Reus, Barcelona, Spain
f Hospital Vall d’Hebron, Barcelona, Spain
g Hospital Comarcal d’Amposta, Amposta, Tarragona, Spain
h Hospital de Mataró, Mataró, Barcelona, Spain
i Hospital Mútua de Terrassa, Terrassa, Barcelona, Spain
j Hospital Santa Creu i Sant Pau, Barcelona, Spain
k Hospital Universitari Son Dureta, Palma de Mallorca, Spain
l Consorci Sanitari de Terrassa, Terrassa, Barcelona, Spain
m Consorci Sanitari Integral, L’Hospitalet de Llobregat, Barcelona, Spain
n Hospital de Figueres, Figueres, Girona, Spain
o Hospital Son Llàtzer, Palma de Mallorca, Spain
p Hospital Universitari Dr. Josep Trueta, Girona, Spain
q Hospital Clínic i Provincial de Barcelona, Barcelona, Spain
r Hospital Universitari Arnau de Vilanova, Lleida, Spain
s Hospital d’Igualada, Igualada, Barcelona, Spain
t Hospital Plató, Barcelona, Spain
u Hospital de Manacor, Manacor, Mallorca, Spain
v Hospital ParcTaulí, Sabadell, Barcelona, Spain
w Hospital Sagrat Cor, Barcelona, Spain
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Documento de consenso de la “Xarxa de Centres de Melanoma de Catalunya i Balears”" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec84682" "palabras" => array:3 [ 0 => "Melanoma" 1 => "Consensus statement" 2 => "Management" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec84683" "palabras" => array:3 [ 0 => "Melanoma" 1 => "Documento de consenso" 2 => "Manejo" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">This consensus statement on the management of primary cutaneous melanoma that we present here was based on selection, discussion, review, and comparison of recent literature (including national and international guidelines). The protocols for the diagnosis, treatment, and follow-up used in the hospital centers throughout Catalonia and the Balearic Isles belonging to the Network of Catalan and Balearic Melanoma Centers were also considered. The main objective of this statement was to present the overall management of melanoma patients typically used in our region at the present time. As such, the statement was not designed to be an obligatory protocol for health professionals caring for this group of patients, and neither can it nor should it be used for this purpose. Professionals reading the statement should not therefore consider it binding on their practice, and in no case can this text be used to guarantee or seek responsibility for a given medical opinion. The group of dermatologists who have signed this statement was created 3 years ago with the aim of making our authorities aware of the importance of this complex tumor, which, in comparison with other types of cancer, we believe does not receive sufficient attention in Spain. In addition, the regular meetings of the group have produced interesting proposals for collaboration in various epidemiological, clinical, and basic applied research projects on the subject of malignant melanoma in our society.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">El documento de consenso respecto al manejo del melanoma primario de la piel, que detallamos a continuación, nace de la puesta en común, aceptación, revisión y confrontación con la literatura reciente (incluyendo guías clínicas nacionales e internacionales), así como de los protocolos de diagnóstico, seguimiento y tratamiento consensuados en los diferentes centros hospitalarios de toda Cataluña y Baleares pertenecientes a la Xarxa de Centres de Melanoma de Catalunya i Balears. El objetivo principal de este documento es exponer de forma conjunta el manejo habitual del paciente con melanoma que actualmente se realiza en nuestro medio. Sin embargo, este documento no pretende, ni puede, por lo que tampoco debiera ser usado como un protocolo de obligado cumplimiento por los profesionales que atendemos a este grupo de enfermos. En este sentido, cabe mencionar que la consulta de este documento por parte del profesional no es vinculante para su acción, y en ningún caso este texto podrá ser utilizado para garantizar o buscar responsabilidades del juicio médico concreto. El grupo de dermatólogos que firman dicho documento se formó hace ahora tres años, con la intención de dar a conocer a nuestras autoridades la importancia de este complejo tumor, que en nuestro país creemos que se encuentra erróneamente infravalorada con respecto a otros tipo de cáncer. Además, fruto de las reuniones periódicas del grupo, han surgido también interesantes propuestas de colaboración en distintos proyectos de investigación epidemiológica, clínica y básica aplicada en torno al melanoma maligno en nuestra sociedad.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:119 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Epiluminescence microscopy for the diagnosis of doubtful melanocytic skin lesions" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arch Dermatol" "fecha" => "1998" "volumen" => "134" "paginaInicial" => "1563" "paginaFinal" => "1570" "link" => array:1 [ …1] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Is dermoscopy useful for the diagnosis of melanoma? Results of a meta-analysis using techniques adapted to the evaluation of the diagnostic tests" "autores" => array:1 [ 0 => array:2 [ …2] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arch Dermatol" "fecha" => "2001" "volumen" => "137" "paginaInicial" => "1343" "paginaFinal" => "1350" "link" => array:1 [ …1] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib3" "etiqueta" => "3." 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| Year/Month | Html | Total | |
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| 2024 November | 6 | 5 | 11 |
| 2024 October | 62 | 49 | 111 |
| 2024 September | 48 | 28 | 76 |
| 2024 August | 80 | 63 | 143 |
| 2024 July | 54 | 33 | 87 |
| 2024 June | 58 | 27 | 85 |
| 2024 May | 37 | 28 | 65 |
| 2024 April | 50 | 40 | 90 |
| 2024 March | 49 | 27 | 76 |
| 2024 February | 51 | 60 | 111 |
| 2024 January | 45 | 44 | 89 |
| 2023 December | 52 | 29 | 81 |
| 2023 November | 63 | 35 | 98 |
| 2023 October | 43 | 27 | 70 |
| 2023 September | 38 | 28 | 66 |
| 2023 August | 23 | 21 | 44 |
| 2023 July | 32 | 54 | 86 |
| 2023 June | 35 | 21 | 56 |
| 2023 May | 31 | 25 | 56 |
| 2023 April | 31 | 14 | 45 |
| 2023 March | 28 | 25 | 53 |
| 2023 February | 27 | 19 | 46 |
| 2023 January | 31 | 27 | 58 |
| 2022 December | 39 | 41 | 80 |
| 2022 November | 21 | 26 | 47 |
| 2022 October | 13 | 17 | 30 |
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| 2022 August | 14 | 40 | 54 |
| 2022 July | 14 | 25 | 39 |
| 2022 June | 12 | 26 | 38 |
| 2022 May | 36 | 32 | 68 |
| 2022 April | 34 | 41 | 75 |
| 2022 March | 39 | 50 | 89 |
| 2022 February | 46 | 23 | 69 |
| 2022 January | 26 | 40 | 66 |
| 2021 December | 15 | 36 | 51 |
| 2021 November | 30 | 42 | 72 |
| 2021 October | 19 | 48 | 67 |
| 2021 September | 30 | 41 | 71 |
| 2021 August | 28 | 30 | 58 |
| 2021 July | 24 | 37 | 61 |
| 2021 June | 27 | 32 | 59 |
| 2021 May | 20 | 32 | 52 |
| 2021 April | 51 | 29 | 80 |
| 2021 March | 76 | 16 | 92 |
| 2021 February | 57 | 35 | 92 |
| 2021 January | 32 | 22 | 54 |
| 2020 December | 16 | 22 | 38 |
| 2020 November | 26 | 20 | 46 |
| 2020 October | 31 | 16 | 47 |
| 2020 September | 27 | 8 | 35 |
| 2020 August | 34 | 29 | 63 |
| 2020 July | 20 | 12 | 32 |
| 2020 June | 22 | 16 | 38 |
| 2020 May | 47 | 20 | 67 |
| 2020 April | 44 | 18 | 62 |
| 2020 March | 44 | 14 | 58 |
| 2020 February | 6 | 13 | 19 |
| 2020 January | 1 | 9 | 10 |
| 2019 December | 0 | 21 | 21 |
| 2019 November | 0 | 8 | 8 |
| 2019 October | 0 | 6 | 6 |
| 2019 September | 0 | 11 | 11 |
| 2019 August | 0 | 14 | 14 |
| 2019 July | 0 | 19 | 19 |
| 2019 June | 0 | 19 | 19 |
| 2019 May | 0 | 66 | 66 |
| 2019 April | 1 | 27 | 28 |
| 2019 March | 0 | 3 | 3 |
| 2019 February | 0 | 10 | 10 |
| 2019 January | 1 | 7 | 8 |
| 2018 December | 0 | 7 | 7 |
| 2018 November | 0 | 6 | 6 |
| 2018 September | 1 | 0 | 1 |
| 2018 June | 0 | 1 | 1 |
| 2018 May | 0 | 2 | 2 |
| 2018 April | 0 | 6 | 6 |
| 2018 March | 6 | 1 | 7 |
| 2018 February | 16 | 4 | 20 |
| 2018 January | 17 | 9 | 26 |
| 2017 December | 23 | 8 | 31 |
| 2017 November | 26 | 2 | 28 |
| 2017 October | 22 | 3 | 25 |
| 2017 September | 24 | 9 | 33 |
| 2017 August | 36 | 6 | 42 |
| 2017 July | 15 | 5 | 20 |
| 2017 June | 29 | 18 | 47 |
| 2017 May | 23 | 10 | 33 |
| 2017 April | 31 | 7 | 38 |
| 2017 March | 23 | 44 | 67 |
| 2017 February | 18 | 8 | 26 |
| 2017 January | 17 | 127 | 144 |
| 2016 December | 44 | 7 | 51 |
| 2016 November | 23 | 3 | 26 |
| 2016 October | 22 | 21 | 43 |
| 2016 September | 40 | 7 | 47 |
| 2016 August | 37 | 5 | 42 |
| 2016 July | 23 | 4 | 27 |
| 2016 June | 8 | 12 | 20 |
| 2016 May | 4 | 7 | 11 |
| 2016 April | 5 | 1 | 6 |
| 2016 March | 4 | 0 | 4 |
| 2016 February | 10 | 4 | 14 |
| 2016 January | 6 | 5 | 11 |
| 2015 December | 9 | 1 | 10 |
| 2015 November | 10 | 1 | 11 |
| 2015 October | 3 | 4 | 7 |
| 2015 September | 9 | 6 | 15 |
| 2015 August | 11 | 5 | 16 |
| 2015 July | 30 | 11 | 41 |
| 2015 June | 40 | 39 | 79 |
| 2015 May | 75 | 57 | 132 |
| 2015 April | 54 | 57 | 111 |
| 2015 March | 42 | 99 | 141 |
| 2015 February | 43 | 157 | 200 |
| 2015 January | 33 | 96 | 129 |
| 2014 December | 39 | 11 | 50 |
| 2014 November | 19 | 8 | 27 |
| 2014 October | 37 | 11 | 48 |
| 2014 September | 29 | 9 | 38 |
| 2014 August | 30 | 12 | 42 |
| 2014 July | 42 | 17 | 59 |
| 2014 June | 41 | 9 | 50 |
| 2014 May | 49 | 14 | 63 |
| 2014 April | 44 | 11 | 55 |
| 2014 March | 48 | 14 | 62 |
| 2014 February | 29 | 21 | 50 |
| 2014 January | 35 | 14 | 49 |
| 2013 December | 39 | 17 | 56 |
| 2013 November | 31 | 14 | 45 |
| 2013 October | 28 | 20 | 48 |
| 2013 September | 38 | 32 | 70 |
| 2013 August | 22 | 38 | 60 |
| 2013 July | 42 | 32 | 74 |
| 2013 June | 32 | 25 | 57 |
| 2013 May | 22 | 29 | 51 |
| 2013 April | 38 | 34 | 72 |
| 2013 March | 38 | 25 | 63 |
| 2013 February | 18 | 12 | 30 |
Show all
