How to diagnose melanoma

Written by Liu Jing
Dermatology
Updated on November 23, 2024
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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.

Other Voices

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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 Huang Ling Juan
Dermatology
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Can a melanoma heal by itself if it ruptures?

Melanoma cannot heal itself once it has ruptured. Melanoma is a type of malignant tumor, and if melanoma occurs, it is crucial to cooperate actively with the doctor to perform excision surgery. After the surgical removal, pathological examination must be carried out, and treatment should be sought promptly to avoid delaying the condition. If there is bleeding, ulceration, pain, or a significant increase in the size of skin pigmented moles, it is highly suspect for malignant transformation, and one should promptly visit a dermatology department at a formal hospital for examination. If malignant transformation is possible, it is critical to perform surgery early and conduct a pathological examination. The symptoms of melanoma are related to the age of onset; in younger patients, it usually presents as itching, changes in the color of the lesions, and expanding borders, while older patients typically exhibit noticeable ulceration of the lesions.

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Written by Gong Chun
Oncology
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What is melanoma?

Melanoma, also known as malignant melanoma, originates from the malignant transformation of melanocytes. It is commonly found in individuals with fair skin, blond or red hair, and blue eyes, who are often prone to this type of disease, particularly in tropical regions where the condition is more prevalent. The incidence rate increases after the age of fifty, and the rate of occurrence between men and women within the same group is quite similar. In a minority of cases, melanoma can also occur in parts outside of the skin, such as the anus, rectum, esophagus, or inside the eyes. When the tumor is confined within the epidermis, referred to as in situ carcinoma, it can be cured through surgery. If there is metastasis, treatment may include immunotherapy, chemotherapy, or local radiotherapy.

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Written by Zhu Zhu
Dermatology
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The difference between melanoma and moles

Melanoma and moles are distinguishable; firstly, moles are generally smaller, while melanomas have a larger diameter. Secondly, the color of a mole is more uniform, whereas the color of a melanoma is inconsistent in depth. Furthermore, moles are typically symmetric in shape, while melanomas are asymmetric. Lastly, melanoma is a type of malignant tumor, whereas a mole is simply a skin condition.

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Written by Sun Ming Yue
Medical Oncology
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Can melanoma be excised?

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.