Can melanoma be excised?

Written by Sun Ming Yue
Medical Oncology
Updated on September 22, 2024
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Melanoma, also known as malignant melanoma, generally appears on the skin or in areas such as mucous membranes and the choroid of the eye. It is the most malignant type of skin tumor and is prone to distant metastases. Early diagnosis and treatment are crucial in the initial stages of the disease. If a diagnosis of melanoma is confirmed at a formal hospital, it is recommended that patients undergo a complete excision biopsy of the lesion. If the lesion is too large to be removed, a superficial skin lesion theft or punch biopsy may also be considered.

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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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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.

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Written by Sun Ming Yue
Medical Oncology
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Is amputation useful for melanoma?

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 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 Yan Chun
Oncology
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Melanoma CT manifestations

The CT manifestations of melanoma vary depending on the location of the tumor. Generally, melanomas that occur on the skin can appear on CT scans as mass-like lesions, and the scans can show whether there are any urgent conditions involving the surrounding nerves, blood vessels, and tissues. Some patients may only show CT imaging changes such as localized thickening of the skin. In melanomas that occur inside the skull or in the vulva, the CT mainly shows localized mass-like lesions. These lesions are typically low-density foci with poor blood supply around them, and they generally have an irregular shape.