Does Stage 1 melanoma require chemo?

Treating stage I melanoma
Most often, no other treatment is needed. Some doctors may recommend a sentinel lymph node biopsy (SLNB) to look for cancer in nearby lymph nodes, especially if the melanoma is stage IB or has other characteristics that make it more likely to have spread.
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Is Stage 1 melanoma serious?

Stage 1 is considered a 'thin melanoma'. If your melanoma is caught before it is too thick the prognosis is very good. Nearly 19 in 20 people who have a stage 1 melanoma are alive at least five years after being diagnosed. Stage 1 is the least serious type of melanoma.
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Is Stage 1 melanoma considered cancer?

In Stage I melanoma, the cancer cells are in both the first and second layers of the skin—the epidermis and the dermis. A melanoma tumor is considered Stage I if it is up to 2 mm thick, and it may or may not have ulceration. There is no evidence the cancer has spread to lymph nodes or distant sites (metastasis).
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Do you have to get chemo if you have melanoma?

Chemotherapy doesn't work as well against melanoma as it does for some other types of cancer. Doctors are more likely to use newer drugs called targeted cancer drugs or immunotherapy first to treat melanoma.
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What happens when you have stage 1 melanoma?

Stage I Melanoma

This is a noninvasive stage, which is also called melanoma “in situ,” meaning “in its original place.” With stage I melanoma, the tumor's thickness is 1mm or less. This tumor may or may not have ulcerated, and it isn't yet believed to have spread beyond the original site.
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Early Stage Melanoma: Your Questions Answered



What is the treatment for stage 1 melanoma?

Treating stage I melanoma

Stage I melanoma is typically treated by wide excision (surgery to remove the melanoma as well as a margin of normal skin around it). The width of the margin depends on the thickness and location of the melanoma. Most often, no other treatment is needed.
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How long can you have stage 1 melanoma?

Prognosis for Stage 1 Melanoma: With appropriate treatment, Stage I melanoma is highly curable. There is low risk for recurrence or metastasis. The 5-year survival rate as of 2018 for local melanoma, including Stage I, is 98.4%.
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What are the chances of stage 1 melanoma returning?

Conclusions and Relevance These findings suggest that 13.4% of patients with a high-risk primary melanoma will experience disease recurrence within 2 years. Head or neck location of initial tumor, SLNB positivity, and signs of rapid tumor growth may be associated with primary melanoma recurrence.
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Is melanoma curable if caught early?

Melanoma is the most invasive skin cancer with the highest risk of death. While it's a serious skin cancer, it's highly curable if caught early. Prevention and early treatment are critical, especially if you have fair skin, blonde or red hair and blue eyes.
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What is the most common treatment for melanoma?

The main treatment for melanoma is surgical removal, or excision, of the primary melanoma on the skin. The extent of the surgery depends on the thickness of the melanoma. Most melanomas are found when they are less than 1.0 mm thick, and outpatient surgery is often the only treatment needed.
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Can Stage 1 melanoma make you tired?

Extreme fatigue that doesn't get better with rest can be an early sign of cancer. Cancer uses your body's nutrients to grow and advance, so those nutrients are no longer replenishing your body. This “nutrient theft” can make you feel extremely tired.
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How quickly should melanoma be removed?

Hypothesis-based, informal guidelines recommend treatment within 4–6 weeks. In this study, median surgical intervals varied significantly between clinics and departments, but nearly all were within a 6-week frame. Key words: melanoma, surgical interval, treatment time, melanoma survival, time factors.
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What does Stage 1 skin cancer look like?

Early stage skin cancer may resemble a small spot or discolored blemish significantly smaller than the size of a fingernail. It may be reddish or brown, though sometimes white with flaking skin cells surrounded by a small blotch of darker skin.
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Can you live 20 years with melanoma?

Survival for all stages of melanoma

Generally for people with melanoma in England: almost all people (almost 100%) will survive their melanoma for 1 year or more after they are diagnosed. around 90 out of every 100 people (around 90%) will survive their melanoma for 5 years or more after diagnosis.
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Is melanoma a death sentence?

Metastatic melanoma was once almost a death sentence, with a median survival of less than a year. Now, some patients are living for years, with a few out at more than 10 years.
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Can melanoma be benign?

Melanoma, benign: A benign growth of the melanocytes that is not cancerous. A mole may be a melanocytic nevus.
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Does melanoma always return?

Melanoma is most likely to return within the first 5 years of treatment. If you remain melanoma free for 10 years, it's less likely that the melanoma will return. But it's not impossible. Studies show that melanoma can return 10, 15, and even 25 years after the first treatment.
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How do I know what stage my melanoma is?

To determine the stage of a melanoma, the lesion and some surrounding healthy tissue need to be surgically removed and analyzed using a microscope. Doctors use the melanoma's thickness, measured in millimeters (mm), and the other characteristics described in Diagnosis to help determine the disease's stage.
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What is considered early stage melanoma?

The earliest stage melanomas are stage 0 (melanoma in situ), and then range from stages I (1) through IV (4). Some stages are split further, using capital letters (A, B, etc.). As a rule, the lower the number, the less the cancer has spread. A higher number, such as stage IV, means cancer has spread more.
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Does melanoma feed on sugar?

Melanoma cells are dependent on glucose to grow and spread, Melbourne researchers have found, paving the way for therapies that can halt cancer growth by blocking its fuel source.
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How do you prevent melanoma from spreading?

Use broad-spectrum sunscreen (protects against UVA and UVB rays) with SPF of at least 30. Learn more about sunscreen here. Wear Protective Clothing. Protect your body with sun-protective clothing, hat, and sunglasses.
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How do you prevent melanoma from coming back?

Here are the best ways to avoid melanoma recurrence:
  1. Avoid sunbathing and tanning beds. These are especially harmful to people who have had melanoma in the past.
  2. Cover up outside. Protect your skin by wearing a wide-brimmed hat and sun-protective clothing and by applying sunscreen to exposed skin.
  3. Monitor your moles.
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How long does it take for melanoma to spread to lymph nodes?

How fast does melanoma spread and grow to local lymph nodes and other organs? “Melanoma can grow extremely quickly and can become life-threatening in as little as six weeks,” noted Dr. Duncanson.
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Can you tell the stage of melanoma from a biopsy?

These test results along with the results from your skin biopsy, complete skin exam, and physical are used to determine the stage of the melanoma. When everything that your doctor sees suggests that the cancer may have spread to a lymph node, your doctor may recommend a procedure called a sentinel lymph node biopsy.
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Can melanoma go away on its own?

Melanoma can go away on its own. Melanoma on the skin can spontaneously regress, or begin to, without any treatment. That's because the body's immune system is able launch an assault on the disease that's strong enough to spur its retreat.
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