Is amputation useful for melanoma?

Written by Sun Ming Yue
Medical Oncology
Updated on September 09, 2024
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Melanoma is a very terrifying disease. Once melanoma develops on the limbs, there is a tendency to favor as extensive a surgery as possible. It seems that the larger the excision, the cleaner it becomes, which helps to prevent future recurrence and metastasis. Even undergoing amputation surgery doesn’t necessarily eliminate the risk of metastasis and recurrence. Sometimes, if the margins of the excision are not beyond the range, the risk still exists. Therefore, the extent of the excision should be determined based on the patient’s condition.

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Written by Liu Gang
Dermatology
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Does melanoma need to be excised?

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 Sun Ming Yue
Medical Oncology
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Melanoma deterioration symptoms

Patients with early-stage melanoma generally experience symptoms such as moles rapidly growing larger, changing in shape and color. Slightly more severe cases may exhibit signs like itching and bleeding. If the melanoma progresses, it might lead to non-healing ulcerations, repeated occurrences of satellite lesions, regional lymph node metastasis, and migratory metastasis. In advanced stages, patients may experience bone metastasis pain. Lung cancer metastasis might manifest as coughing and coughing up blood, and symptoms can vary depending on the site of metastasis.

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Written by Sun Ming Yue
Medical Oncology
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Melanoma lymphatic metastasis symptoms

If melanoma has metastasized to the lymph nodes, it can cause lymph node enlargement. At the same time, patients with melanoma may also experience persistent fever, leading to a decrease in the body's resistance and a drop in the level of blood cells. In such cases, it is recommended to undergo a detailed examination. If metastasis is detected, surgical treatment is advised, or consider using methods such as radiation therapy for treatment.

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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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How to alleviate vomiting from melanoma

Melanoma is one of the malignant tumors, and if one contracts this disease, it is important to treat melanoma promptly as symptoms are not very pronounced in the early stages. In advanced stages, symptoms such as nausea and vomiting may occur, possibly due to irritation of the stomach. Surgery, chemotherapy, and radiotherapy can all have side effects. It is also possible that the melanoma has metastasized, causing a feeling of vomiting. It is recommended that patients take antiemetic medication to treat this, and in terms of diet, eat foods that are beneficial for the spleen and stomach, such as coix seed, yam, millet, red dates, and black fungus, all of which can help alleviate discomfort in the gastrointestinal tract.