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The most common risk factors for lentigo maligna melanoma include: chronic exposure to sunlight, which causes skin damage a history of sunburns lighter skin the tendency to form harmless patches of darkened skin, known as solar lentigines a history of nonmelanoma skin cancers certain genetic mutations, most commonly P53 mutations A person should see a doctor if they are concerned about a new mole that has appeared on their face, neck, or forearms

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I generally recommend starting with the lower dose of 0.25 mg for the first week before considering increases

Durn RV, MacKenzie ED, Boulahbel H, Frezza C, Heiserich L, Tardito S, Bussolati O, Rocha S, Hall MN, Gottlieb E

Garvey WT, Ryan DH, Look M, Gadde KM, Allison DB, Peterson CA,

Genetic testing may also be done on the cancer cells to look for specific protein or gene changes (mutations) such as the BRAF mutation gene which is found in about 40% of people with melanoma, and less commonly, the NRAS and C-KIT mutations 5