Priporočila za obravnavo bolnikov z melanomom kože Recommendations for diagnosis, treatment and follow-up of patients with cutaneous melanoma

Abstract

Incidenca melanoma v svetu in Sloveniji še vedno narašča, se je pa preživetje v zadnjih 20 letih izboljšalo, predvsem zaradi zgodnejšega odkrivanja melanoma in enotnih pristopov v primarnem zdravljenju. Posodobljena Priporočila v letu 2024 prinašajo precej novosti, predvsem v diagnostičnih postopkih odkrivanja in zamejitve zgodnjih stadijev melanoma, kot tudi natančnih priporočil sledenja po primarnem zdravljenju, na področju kirurškega zdravljenja in pa predvsem sistemskega zdravljenja, tako metastatske bolezni, predvsem pa v adjuvan- tnem sistemskem zdravljenju v visoko rizičnem stadiju II, in neo- adjuvantnem sistemskem zdravljenju operabilnega melanoma. V tokratna Priporočila smo vključili tudi poglavji prehranskega in paliativnega tima.

Abstract (Eng)

The incidence of cutaneous melanoma in the world and in Slovenia is still increasing, but survival has improved in the last 20 years, mainly due to earlier detection of melanoma and uniform appro- aches in primary treatment. The updated Recommendations in 2024 bring a lot of novelties, especially in diagnostic procedures for detecting the early stages of melanoma, as well as precise follow-up recommendations after primary treatment, in the field of surgical treatment, and especially in the field of systemic treatment, both, of metastatic disease, and in adjuvant systemic treatment in high-risk stage II, also neoadjuvant systemic treatment of operable cutaneous melanoma. We have also included chapters on the nutrition and palliative care in this Recommendations.