Dr. V’s Melanoma Algorithm
A is for ANALYSIS
At AAD we analyze the whole patient based on history and detailed family traits. Ideally we do a 4 generation tall family tree focusing on all potential cancers; not just melanoma.
B is for BLADE BIOPSY
We sample suspicious moles for different reasons: establish the degree of atypia, risk profile, explore phenotypes and sometimes we biopsy parents instead of their kids (Biopsy by Proxy).
C is for COLOR
Is not just the black but the red, ash grey, white, skin color regressed and slate bluish, shiny pearly pink, we study the rainbow for colors that do not fit or match. Sometimes is a red herring, the blue moon or the black ship.
D is for DERMOSCOPY and DISTRIBUTION
Not just Diameter: Skin has invisible zebra stripes; that is why you get shingles. At AAD we have established that certain body stripes, called dermatomes (skin segments) are more prone to develop melanomas. This work by AAD is pioneering and cutting edge and will be presented at the World Congress Of Dermatology in Milano, Italy June 2019.
E is for EVOLUTION and EMBRYOLOGY
Not just Elevation: The breakthrough observations by the AAD TEAM established the obvious. The left side of the body is the sinister due to embryology not the sun.
F is for FUNNY looking moles and FAMILY
AAD is one of the few organizations globally whose physicians are able to study up to 4 generations of a patient’s family members due to their specialized knowledge of genetics, embryology, neonatology, pediatrics and dermatology.
G is for GENERATIONS and GENETICS
Recognizing that certain GENES are responsible for several cancers in different organs, we study information about the genetics of the family across multiple generations and organs.
H is for HISTORY
History includes personal, family, professional or occupational, surgical, environmental History and social History. Every facet of your past will be evaluated and analyzed.
I is for INSTINCT
Patients Instinct, Doctors Instinct, Nurses and Receptionists Instinct. Decades of practical experience and training have honed our ability to look past the alphabet of symptoms and shapes, to trust our instinct when something feels “off”; to LISTEN to OUR PATIENTS.