Malignant Melanoma

Treatment

Your treatment depends on how deeply the melanoma has grown into your skin, whether the melanoma has spread to other parts of the body, and your overall health. Treatment often starts with surgery. In its earliest stage, melanoma grows in the epidermis (outer layer of skin). Your dermatologist may refer to this as melanoma in situ or stage 0. In this stage, the cure rate is nearly 100%.

Your dermatologist will want to treat all of the cancer. Your dermatologist can perform surgery in their office. You may remain awake during the surgical procedure. There are two common procedures for surgically treating melanoma:

• Excision: Your dermatologist will numb your skin and surgically reduce the melanoma. Some of the normal looking skin around the melanoma will also be reduced. This procedure is appropriate for most in situ and invasive melanomas.
• Mohs surgery: A dermatologist who has completed additional training in Mohs surgery performs this procedure. This procedure involves reducing the visible skin cancer. The tissue that is treated is examined under a microscope by the Mohs surgeon to determine if there are any cancer cells remaining at any outer edges of the reduced tissue. During this time, you remain at the surgical suite of office. If cancer cells are still present at any edge of the reduced tissue, the Mohs surgeon will continue to treat additional layers of skin or underlying affected tissue until cancer cells are no longer seen. This technique allows for complete treatment of the skin cancer, yet minimizes the damage of healthy skin. In most cases, Mohs surgery can be completed within a day or less.

When melanoma is caught early, excision or Mohs surgery may be the only treatment you need.

When melanoma grows deeper into the skin or spreads, treatment becomes more complex. It may begin with a surgery, followed by additional treatment or more surgery. Treatment may also involve radiation therapy or chemotherapy to treat cancer cells. Some patients receive immunotherapy to boost their body’s immune system, which increases the body’s abilities to fight the cancer. If the melanoma is advanced, the patient often receives a combination of these treatments by a team of physicians that may include a dermatologist, and surgical and medical oncologists.

It is important to note that numerous promising clinical trials are ongoing for the treatment of advanced melanoma.

Prevention

Sun exposure is the most preventable risk factor for all skin cancers, including melanoma. You can have fun in the sun and decrease your risk of skin cancer. Here’s how:

• Seek shade when appropriate. Remember that the sun’s rays are strongest between 10 a.m. and 2 p.m. If your shadow appears to be shorter than you are, seek shade.
• Wear protective clothing, such as a long-sleeved shirt, pants, a wide-brimmed hat, and sunglasses, where possible.
• Generously apply a broad-spectrum, water-resistant sunscreen with a Sun Protection Factor (SPF) of 30 or more to all exposed skin. “Broad-spectrum” provides protection from both ultraviolet A (UVA) and ultraviolet B (UVB) rays. Reapply approximately every two hours, even on cloudy days, and after swimming or sweating.
• Research has found that daily sunscreen use cuts the incidence of melanoma in half.
• Use extra caution near water, snow, and sand because they reflect and intensify the damaging rays of the sun, which can increase your chances of sunburn.
• Avoid tanning beds. If you want to look tan, consider using a self-tanning product, but continue to use sunscreen with it.

What we do

• All Sunscreens
• Heliocare

• Full Body Skin Examinations
• Biopsies to confirm the diagnosis
• Excisions

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