Melanoma is the most lethal of all the skin cancers. Incidence and the mortality rates are decreasing in younger population whereas the rate is still increasing in the older population. Geographically, Australia, USA, and Canada are considered as "high prevalence regions", and Scotland and India fall in the "low incidence regions". However, the attached guideline should help oncologist, and dermatologist to approach their melanoma cases systematically so that the diagnosis work up is shorter.

The attached guideline focuses on the diagnostic work up, treatment (surgical and nonsurgical) management of patients with primary cutaneous melanoma. Primary cutaneous melanoma is any primary melanoma lesion, regardless of tumor thickness in patients without clinical or histological evidence of regional or distant metastatic disease. The guideline offers recommendations with respect to following…