Morphology of Pediatric Melanomas
This survey is being performed by Memorial Sloan Kettering Cancer Center Department of Dermatology on behalf of the International Dermoscopy Society.

We are compiling an international database of clinical and/or dermoscopic images for biopsy-proven pediatric melanomas. Please fill out a SEPARATE form for each pediatric melanoma case seen in your practice for which you have a clinical and/or dermoscopic image. In other words, if you are contributing 2 cases then you will need to fill out 2 separate forms (one form for each case). Please only fill out this form for patients who were under 20 years of age at the time of diagnosis. After filling out the survey, our study coordinator will invite you to a secure platform through MSKCC, known as MSK Sharebox, by which you can submit associated de-identified clinical and/or dermoscopic images.

By proceeding with the survey instrument, you are agreeing that we may use your responses to publish data that we hope will better elucidate the morphology of pediatric melanomas. The survey asks that you provide contact information (name, e-mail address, country, and affiliation). This is collected so that we may contact you for images and follow up questions regarding this data should they arise.

Please note that your email address will NEVER be shared with anyone and will NEVER be used to send you emails other than these survey instruments. Your email address will be deleted from the data set at the conclusion of our study. All responses are strictly confidential.

There is no compensation for taking this survey.

Should you have any questions during this survey, about the data or how it is used, please contact the study coordinator, Shirin Bajaj at shirin.bajaj@gmail.com

This study is IRB-approved, waiver WA0086-15.
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