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Melanoma and skin cancer (electronic educational course, 36 hours)

Audience category: oncologists, dermatovenerologists, surgeons,
general practitioners, general practitioners

The complexity of the program: 36 academic hours.

Form of training: distance learning by means of electronic educational system
environments using interactive communication technologies.


Skin melanoma - a high-grade mesenchymal tumor with
aggressive clinical course, developing from melanocytes (pigment cells,
producing melanin). The incidence of skin melanoma in the developed countries of the world and
The Russian Federation is increasing annually, by about 5% per year. According to the WHO to
By 2025, the global incidence of skin melanoma will increase by 25%. By absolute
the increase in the incidence of malignant tumors in the world of melanoma is 2
a place after lung cancer. According to research conducted in the United States, every hour from
melanoma kills 1 person.
Melanoma is the cause of 80% of deaths in the group of patients with malignant tumors.
skin neoplasms. To our great regret, in the Russian Federation, when you first apply to
oncologist, melanoma of the skin, in 25% of cases is detected in the already advanced stages III-IV
the tumor process.
Malignant skin tumors (skin cancer + skin melanoma) in 2015 in the Russian Federation reached 1
place among the adult population (both sexes). The incidence of skin cancer in adults
the population in the world and in Russia is steadily growing. Basal cell carcinoma - the most common
it is a common malignant tumor of the skin and makes up 80% of them. This view
cancer is mainly localized on the skin of the head, face and neck.
With the introduction of the dermatoscopy method into the routine practice of medical specialists
the early diagnosis of skin melanoma and skin cancer and their treatment has improved somewhat.
the predecessors. In recent years, improved methods of diagnostics and
methods of treatment of skin melanoma at all stages of the tumor process have been optimized.

As part of the course, we:
1. Let's analyze the principles of diagnosis and treatment of dysplastic melanocytic nevi
skin (risk groups for the incidence of skin melanoma, clinical picture
skin melanoma and its metastases, international visual diagnostic system
melanoma of the skin according to ABCDE, etc.).
2. Let's analyze the dermatoscopic criteria for melanocytic skin formations, as well as
criteria for pigmented and non-pigmented skin melanoma variants using
modern dermatoscopes.
3. Let's analyze the epidemiology, etiology and pathogenesis of skin melanoma.
4. Let's analyze the principles of diagnosis and treatment of local, locally widespread and
disseminated forms of skin melanoma (indications for PET/CT in the "total" mode
body", to MRI of the brain, etc., mechanisms of action, indications and
contraindications of targeted drugs in the presence of a mutation in melanoma in the B gene-
RAF and C-kit, as well as the mechanisms of action, indications and contraindications of the new
immuno-oncological drugs-blockers of immune control points -
inhibiting T-cell receptors CTLA-4 and PD1-inhibitors.
5. We will study in detail the technique and technique of surgical removal of primary melanoma
skin (volume of operations, margins from the edges of the melanoma during its surgical removal,
methods and indications for sentinel lymph node biopsy).
6. Let's analyze the principles of diagnosis and treatment of precancerous skin.
7. Let's analyze the dermatoscopic criteria for various types of skin cancer using
modern dermatoscopes.
8. Let's analyze the epidemiology, etiology and pathogenesis of skin cancer.
9. Let's analyze the principles of diagnosis and treatment of local skin cancer (cryodestruction,
electrocoagulation, laser removal, radiotherapy, local therapy, as well as types and
volumes of operations, principles of diagnosis and treatment).
10. Let's analyze the principles of diagnosis and treatment of locally advanced and
disseminated skin cancer (types and volumes of operations, schemes of modern surgery)
chemotherapy and targeted therapy.

Number of possible cycles: weekly

Maximum number of listeners per cycle: no number limit

Curator of the advanced training cycle: Head of the Oncosurgical Department
department of Skin and Soft Tissue Tumors of the State Medical Institution of the Moscow State Scientific Research Center named after A. S. Loginov DZM,
Doctor of Medical Sciences, Associate Professor Konstantin Titov

Working program of the course

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