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New melanoma diagnosed in November 2008

Melanoma audit

In the month of November 2008, we wish to see just how many new melanomas are diagnosed by our members and friends.

In November would you kindly complete the following very short form for every new melanoma you diagnose.

Brief details of new melanoma

 

Diagnosing doctors first and last name*
New melanoma Clark level is*
Breslow thickness of melanoma is*
Sex of patient with melanoma is*

Melanoma is on which side of body?*

Patient's age is*
Type of melanoma is*
The location of the melanoma is*
Who has or will do the definitive wide excision?*

Dermoscopy was?*


Level of ACSCM certification is?*
Email address
Submit
*Required