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Cited by 668

The DOI matches its Crossref record; 32 of the 32 references it cites were found in a registry or an index.

Early Diagnosis of Cutaneous Melanoma: Revisiting the ABCD Criteria

Abbasi, Naheed R., Shaw, Helen M., Rigel, Darrell S., Friedman, Robert J., McCarthy, William H., Osman, Iman, Kopf, Alfred W., Polsky, David·2004·JAMA

Abstract

CONTEXT: The incidence of cutaneous melanoma has increased over the past several decades, making its early diagnosis a continuing public health priority. The ABCD (Asymmetry, Border irregularity, Color variegation, Diameter >6 mm) acronym for the appraisal of cutaneous pigmented lesions was devised in 1985 and has been widely adopted but requires reexamination in light of recent data regarding the existence of small-diameter (< or =6 mm) melanomas. EVIDENCE ACQUISITION: Cochrane Library and PubMed searches for the period 1980-2004 were conducted using search terms ABCD and melanoma and small-diameter melanoma. Bibliographies of retrieved articles were also used to identify additional relevant information. EVIDENCE SYNTHESIS: Available data do not support the utility of lowering the diameter criterion of ABCD from the current greater than 6 mm guideline. However, the data support expansion to ABCDE to emphasize the significance of evolving pigmented lesions in the natural history of melanoma. Physicians and patients with nevi should be attentive to changes (evolving) of size, shape, symptoms (itching, tenderness), surface (especially bleeding), and shades of color. CONCLUSIONS: The ABCD criteria for the gross inspection of pigmented skin lesions and early diagnosis of cutaneous melanoma should be expanded to ABCDE (to include "evolving"). No change to the existing diameter criterion is required at this time.

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Metadata

Authors
Abbasi, N. R., Shaw, H. M., Rigel, D. S., Friedman, R. J., McCarthy, W. H., Osman, I., Kopf, A. W., & Polsky, D.
Venue
JAMA
Published
2004-12-08
Volume
292
Issue
22
Pages
2771
ISSN
  • 0002-9955 (ISSN-L)
  • 0098-7484
OpenAlex
W2001378671
Cited by
668
References
32
FWCI
6.61
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Early Diagnosis of Cutaneous Melanoma: Revisiting the ABCD Criteria. https://app.cochat.ai/papers/10.1001/jama.292.22.2771
The paper
Abbasi, N. R., Shaw, H. M., Rigel, D. S., Friedman, R. J., McCarthy, W. H., Osman, I., Kopf, A. W., & Polsky, D. (2004). Early Diagnosis of Cutaneous Melanoma: Revisiting the ABCD Criteria. JAMA. https://doi.org/10.1001/jama.292.22.2771

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