Melanoma (cont.)

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Conclusions

When it comes to spots on the skin, it is always better to be safe than sorry. Melanoma is a potentially serious form of skin cancer. Diagnosed early and treated properly, it can very often be cured. And one more time...

Guideline # 1: Nobody can diagnose him- or herself. If you see a spot that looks as though it is new or changing, show it to a doctor.

What is in the future for melanoma?

Research in melanoma is headed in three directions: prevention, more precise diagnosis, and better treatment for advanced disease.

  • Prevention: Public education and more widely available screening clinics can increase public awareness of the need for sun avoidance, sunscreen use, and early detection of suspicious spots.


  • More precise diagnosis: Newer experimental techniques, such as the confocal scanning laser microscope, may help doctors make more certain calls on borderline or suspicious spots.


  • Better treatment for advanced disease: Because conventional chemotherapy has been disappointing with melanoma, researchers have turned their attention to biologic treatments of advanced melanoma to stimulate the body's own immune response against the tumor. These biologic treatments include interferon, interleukins, monoclonal antibodies, and tumor vaccines.

Melanoma At A Glance

  • Melanoma is a cancer that develops in pigment cells called melanocytes.
  • Patients themselves are the first to detect many melanomas.
  • Caught early, most melanomas can be cured with relatively minor surgery.
  • Melanoma can be more serious than the other forms of skin cancer, because it may spread (metastasize) to other parts of the body and cause serious illness and death.
  • Spots suspicious for melanoma show one or more of the following features (the ABCDs): Asymmetry, Border irregularity, Color changes, a Diameter more than the size of a pencil eraser.
  • Elevated risk factors for melanoma include Caucasian (white) ancestry, fair skin, light hair and light-colored eyes, a history of intense sun exposure, close blood relatives with melanoma, and moles that are unusually numerous, large, irregular, or "funny looking."
  • Doctors diagnose melanoma by biopsy (removing a piece of skin for analysis).
  • The most common forms of melanoma are superficial spreading melanoma, nodular melanoma, and lentigo maligna.
  • Treatment of melanoma is primarily by surgical removal.
  • Changing or suspicious spots should be brought to medical attention right away.

Patient Comments

Viewers share their comments

Melanoma - Symptoms Question: What did your melanoma look like when you first noticed it and how large was the growth?
Melanoma - Risk Factors and Causes Question: What risk factors did you have for melanoma, and were you concerned about them?
Melanoma - Treatment Question: What treatments did you receive for your melanoma?
Melanoma - Prevention Question: What steps do you take to prevent melanoma?
Melanoma - Diagnosis Question: What was the stage of your melanoma when it was diagnosed?

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