Does the size of melanoma matter?

While it's ideal to detect a melanoma when it is small, it's a warning sign if a lesion is the size of a pencil eraser (about 6 mm, or ¼ inch in diameter) or larger. Some experts say it is also important to look for any lesion, no matter what size, that is darker than others. Rare, amelanotic melanomas are colorless.
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What is the average size of a melanoma?

Melanomas are often larger than 6 mm (1/4 inch) in diameter. However, with increased awareness about early detection, about 30% of melanomas are found when they are less than 6 mm in diameter.
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What is considered a large melanoma?

Thicker melanomas, greater than 4.0 mm, have a very high risk of spreading, and any ulceration can move the disease into a higher subcategory of stage II. Because of that risk, the doctor may recommend more aggressive treatment.
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How small can a malignant melanoma be?

All melanomas have a diameter lower than 5 mm, with a mean of 3.7 mm (range 2.5–4.5 mm).
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Are all melanomas bigger than 6mm?

But size is not a sure sign of melanoma. A healthy mole can be larger than 6mm in diameter, and a cancerous mole can be smaller than this.
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The 4 Stages of Melanoma: The Deadliest Form of Skin Cancer - Mayo Clinic



What stage is a 3 mm melanoma?

With stage 2A melanoma, the tumor is either more than 1 mm but not more than 2 mm thick, with ulceration, or more than 2 mm but not more than 4 mm thick, without ulceration. In stage 2B melanoma, the tumor is more than 2 mm but not more than 4 mm thick, with ulceration, or more than 4 mm thick, without ulceration.
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Can a small melanoma be Stage 4?

Stage 4 is also called advanced melanoma. It means the melanoma has spread elsewhere in the body, away from where it started (the primary site) and the nearby lymph nodes. The most common places for melanoma to spread include the: lungs.
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Can melanoma be 1 mm?

Abstract. Although a thickness of less than or equal to 0.76 mm has been used to define biologically favorable (thin) melanoma, there is evidence that 1 mm may be a reasonable cutoff to categorize favorable extremity melanomas.
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Can melanoma be 2mm diameter?

Teng et al reported the dermatoscopic features of an in-situ melanoma with a diameter of 2 mm [11]. A published dermatoscopy image revealed unequivocal asymmetry of both color and structure with some lines radial segmental and blue-gray structures.
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Can a melanoma be 2 mm?

Micromelanomas, melanomas under 2 mm, are being increasingly reported and given the minute size, the ABCD screening acronym becomes redundant. Further, traditional two-dermatoscopic diagnostic methods often fail and the “chaos and clues” algorithm may be the better method to follow while performing dermatoscopy.
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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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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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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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Can a small melanoma spread?

Over 95% of skin cancers can be successfully treated if they are found early. If untreated, melanomas can spread to other parts of the body and may not be curable so it is important to see your doctor as soon as you notice any changes to your skin.
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Can melanoma stay small?

D is for Diameter: The spot is larger than 6 millimeters across (about ¼ inch – the size of a pencil eraser), although melanomas can sometimes be smaller than this. E is for Evolving: The mole is changing in size, shape, or color.
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What does Stage 1 melanoma look like?

Stage IA Melanoma: The melanoma tumor is less than 1.0 millimeter thick (less than the size of a sharpened pencil point) with or without ulceration (broken skin) when viewed under the microscope. Stage IB Melanoma: The melanoma tumor is more than 1.0 millimeter and less than 2.0 millimeters thick without ulceration.
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What is considered a thin melanoma?

Thin melanomas, which up until this point were defined as those with < 1mm Breslow depth, account for approximately 70% of new cases and approximately 25% of melanoma deaths (Hieken et al., 2015) despite having an excellent prognosis with an observed 12-year survival of approximately 85% (Maurichi et al., 2014).
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How thick is melanoma in situ?

This stage is also known as melanoma in situ. The tumor is more than 1 mm thick (T2b or T3) and may be thicker than 4 mm (T4). It might or might not be ulcerated. The cancer has not spread to nearby lymph nodes (N0) or to distant parts of the body (M0).
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What does a tiny melanoma look like?

Superficial spreading melanoma

Symptoms and traits to look out for include: raised or flat shape, often with irregular shape and borders, sometimes on an existing or new mole. brown, black, tan, red, blue, and even white, often a darker shade of a person's normal skin tone.
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How small can nodular melanoma be?

Although NM represents only a small fraction of melanoma with a thickness of less than 1.3 mm, a better understanding of the characteristics of such thin NMs may help elucidate new means of detecting NM at an earlier stage.
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Can melanoma be a tiny black dot?

Melanomas can be tiny black dots that are no bigger than a pen tip. Any new or existing moles that stand out from the rest in color, shape, or size, should be looked at by a physician.
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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 you tell if melanoma has spread?

If your melanoma has spread to other areas, you may have: Hardened lumps under your skin. Swollen or painful lymph nodes. Trouble breathing, or a cough that doesn't go away.
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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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How many mm is melanoma?

melanoma is less than 1 mm thick. outer layer of skin (epidermis) covering the tumour may or may not look broken under the microscope (ulcerated or not ulcerated)
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