Does melanoma need to be excised?

Written by Liu Gang
Dermatology
Updated on September 21, 2024
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Melanoma is a type of malignant tumor, which mostly develops from common melanocytic nevi. Once diagnosed with this disease, surgical removal is necessary. After the surgery, a full-body examination is also required to check whether the tumor cells have metastasized. If there is metastasis, further radiotherapy or chemotherapy is needed. If melanocytic nevi appear on the body, it is crucial to handle them properly, ideally by using laser treatment or surgical removal when they are relatively small to prevent the later formation of melanoma. If the melanocytic nevi cause pain, itching, or oozing after scratching, it might be a precursor to malignancy, and formal treatment is necessary.

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Written by Liu Jing
Dermatology
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How to diagnose melanoma

For the judgment of melanoma as a malignant tumor, it cannot solely rely on clinical experience. Instead, the skin lesion should undergo surgical excision. During the surgery, freezing can be scheduled, and the results of the freezing report will determine the scope of the surgery. The final diagnosis still depends on the paraffin section. The diagnostic gold standard is based on the pathological results, and only a pathology examination can determine whether the lesion is a malignant melanoma. Diagnosing such diseases requires extreme caution due to their high malignancy and ease of metastasis, which can endanger life. Standardized surgical excision is necessary, supplemented by chemotherapy and other methods.

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Written by Sun Ming Yue
Medical Oncology
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Does melanoma develop quickly?

If melanoma is diagnosed, this disease must not be taken lightly. It is crucial to seek timely medical treatment and not miss the optimal treatment window, thus avoiding serious consequences. The progression of melanoma is very rapid, so once detected, it should be treated as soon as possible. This approach helps to control the spread of the disease and reduce further damage to the body. Melanoma easily causes pigmentation of the skin and can lead to localized breakdown and bleeding. Generally, if the treatment is not timely, ulcers and satellite lesions may develop, thus having a greater impact. Melanoma is also a disease that tends to metastasize easily. Patients may experience nausea, vomiting, affected appetite, weakness in the limbs, and it can also affect the liver, lungs, brain, and bones, causing symptoms including bone pain. Therefore, it is imperative to detect and treat this disease early to improve the body's healing rate.

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Written by Sun Ming Yue
Medical Oncology
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Melanoma check what items

If patients suspect that they have melanoma, they must go to a qualified hospital for examination. The diagnosis of melanoma mainly relies on visual inspection of colored moles that vary in color and shape, which can be directly observed with the eye. Also, if previously existing moles have enlarged or changed shape recently, these are signs that we need to pay attention to. If patients are suspected of having melanoma after a diagnosis, it is recommended to perform a complete excisional biopsy of the lesion, followed by a pathological examination after the surgery.

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Written by Yan Chun
Oncology
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How long does it take for melanoma to develop?

The duration of melanoma development varies because melanoma is a type of skin cancer with a relatively high degree of malignancy. However, clinically, the types of melanoma are diverse, and the onset time generally correlates with the patient's clinical phenotype. For some superficial types of melanoma with low malignancy, it generally takes several years to develop. For highly malignant melanomas, the disease generally progresses rapidly within about six months to a year. Once melanoma progresses, it can affect multiple parts of the body and severely impact the patient's lifespan.

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Written by Sun Ming Yue
Medical Oncology
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Melanoma cancer symptoms

Once melanoma begins to transform cancerously, the tumor will gradually grow larger, and the melanocytic nevi on the skin will also exhibit unusual phenomena. If various colors or a deepening of color appears in the melanin on a patient's body, it might indicate the onset of malignant changes. If a patient develops melanoma, it is advisable for them to seek medical attention promptly for surgical treatment, as this can help prevent the progression to cancer.