Additionally, Tenancy Services reprioritised resources to the processing of bond refunds and bond transfers, which impacted on the volume of bonds that were lodged.
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As the vertical phase develops, the melanoma becomes thickened and raised. Some melanomas are itchy or tender. More advanced lesions may bleed easily or crust over. Not all lesions with these characteristics are malignant. Not all melanomas show these characteristics. Melanomas are described according to their appearance and behaviour.
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Those that start as flat patches ie, they have a horizontal growth phase include:. These superficial forms of melanoma tend to grow slowly, but at any time, they may begin to thicken up or develop a nodule ie, progress to a vertical growth phase. Melanoma is also classified according to its relationship with sun exposure, age and number of melanocytic naevi. Melanoma is usually epithelial in origin, i.
But very rarely, melanoma can start in an internal tissue such as the brain primary CNS melanoma or the back of the eye see ocular melanoma. More images of superficial spreading melanoma. Lentigo maligna melanoma Lentigo maligna melanoma. Acral lentiginous melanoma Acral lentiginous melanoma. More images of acral lentiginous melanoma. Melanoma of the nail unit Melanoma of nail unit. More images of melanoma of the nail unit. Nodular melanoma Black nodular melanoma.
The dermatoscopic appearance is helpful in the diagnosis of featureless early melanoma. Some melanomas are extremely difficult to recognise clinically.
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The suspicious lesion is surgically removed with a 2 to 3-mm clinical margin for pathological examination diagnostic excision. A partial biopsy is best avoided but may be considered in large lesions. The pathological diagnosis of melanoma can be very difficult. Histological features of superficial spreading melanoma in situ include the presence of buckshot pagetoid scatter of atypical melanocytes within the epidermis.
These cells may be enlarged with unusual nuclei. Dermal invasion results in melanoma cells within the dermis or deeper into subcutaneous fat. Immunohistochemical stains may be necessary to confirm melanoma. The pathologist's report should include a macroscopic description of the specimen and melanoma the naked eye view and a microscopic description. The following features should be reported if there is invasive melanoma.
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The report may also include comments about the cell type and its growth pattern, invasion of blood vessels or nerves , inflammatory response, regression and whether there is associated in-situ disease and associated naevus original mole. The Breslow thickness is reported for invasive melanomas.
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It is measured vertically in millimetres from the top of the granular layer or base of superficial ulceration to the deepest point of tumour involvement. It is a strong predictor of outcome; the thicker the melanoma, the more likely it is to metastasise spread. Deeper Clark levels have a greater risk of metastasis.
Melanoma | DermNet NZ
It is useful in predicting outcome in thin tumours. It is less useful than Breslow thickness for thick tumours. Following confirmation of the diagnosis, wide local excision is carried out at the site of the primary melanoma. If you cannot find the person you are looking for in our cemeteries, it may be because they are buried elsewhere. We suggest you try these other local authorities:. Invercargill City Council external link.
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