How do doctors know if melanoma has spread?

For people with more-advanced melanomas, doctors may recommend imaging tests to look for signs that the cancer has spread to other areas of the body. Imaging tests may include X-rays, CT scans and positron emission tomography (PET) scans.
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What are the symptoms of melanoma that 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.
  • Swelling of your liver (under your lower right ribs) or loss of appetite.
  • Bone pain or, less often, broken bones.
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How do doctors know if skin cancer has spread?

Basal and squamous cell cancers don't often spread to other parts of the body. But if your doctor thinks your skin cancer might spread, you might need imaging tests, such as MRI or CT scans.
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How long does it take a melanoma to spread?

Melanoma can grow very quickly. It can become life-threatening in as little as 6 weeks and, if untreated, it can spread to other parts of the body. Melanoma can appear on skin not normally exposed to the sun. Nodular melanoma is a highly dangerous form of melanoma that looks different from common melanomas.
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How is metastatic melanoma diagnosed?

Diagnosis of metastatic melanoma

If there's evidence of a primary tumor, a biopsy may be taken. For this, a small section of suspected cancerous skin is removed with a razor, scalpel or small punch tool. The removed tissue is examined under a microscope to determine whether it's melanoma.
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Diagnosing Melanoma



Does metastatic melanoma show up in blood work?

Blood tests aren't used to diagnose melanoma, but some tests may be done before or during treatment, especially for more advanced melanomas.
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What is considered a thick melanoma?

In general, melanomas less than 1 millimeter (mm) thick (about 1/25 of an inch) have a very small chance of spreading. As the melanoma becomes thicker, it has a greater chance of spreading. Ulceration: Ulceration is a breakdown of the skin over the melanoma. Melanomas that are ulcerated tend to have a worse outlook.
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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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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 early stage melanoma look like?

What to look for: Usually, the most obvious warning signs of early stage melanoma are changes to your moles or spots: in size, shape, colour or in how they look or how they feel. Melanoma can also appear as a new mole (more commonly in people aged 50 years or more)2.
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Do you feel ill with melanoma?

General symptoms

hard or swollen lymph nodes. hard lump on your skin. unexplained pain. feeling very tired or unwell.
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Will a doctor tell you if they suspect cancer?

Doctors need the information about grade and stage to plan your treatment. It may take a few days before your doctor has the results of all the tests. They will then be able to tell you whether you have cancer, and talk with you about your treatment options.
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How long can you have melanoma without knowing?

How long can you have melanoma and not know it? It depends on the type of melanoma. For example, nodular melanoma grows rapidly over a matter of weeks, while a radial melanoma can slowly spread over the span of a decade. Like a cavity, a melanoma may grow for years before producing any significant symptoms.
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Can you feel melanoma spreading?

Melanoma can cause pain in the bones where it's spread, and some people—those with very little body fat covering their bones—may be able to feel a lump or mass.
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Where does melanoma most often metastasize?

Skin and subcutaneous tissue are the most common sites of melanoma metastasis.
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What stage is melanoma in lymph nodes?

Stage 3 is part of the number staging system. It generally means that cancer cells have spread to the lymph nodes close to where the melanoma started (the primary tumour). Or it has spread to an area between the primary tumour and the nearby lymph nodes.
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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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Are you awake for melanoma surgery?

You usually have it as an outpatient, under local anaesthetic. This means you're awake for the operation but have an injection to numb the area. The doctor will put in stitches or clips to close up the area where they remove the tissue.
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Does melanoma require chemo?

Chemo might be used to treat advanced melanoma after other treatments have been tried, but it's not often used as the first treatment because newer forms of immunotherapy and targeted drugs are typically more effective.
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What can be mistaken for melanoma?

Top 5 Conditions Often Mistaken For Skin Cancer
  • Psoriasis. Psoriasis is a skin condition that is believed to be related to an immune system problem, which causes T cells to attack healthy skin cells by accident. ...
  • Seborrheic Keratoses (Benign tumour) ...
  • Sebaceous hyperplasia. ...
  • Nevus (mole) ...
  • Cherry angioma.
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Does melanoma hurt when pressed?

The skin lesion may feel different and may itch, ooze, or bleed, but a melanoma skin lesion usually does not cause pain.
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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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How do you know how deep melanoma is?

Breslow thickness is the measurement of the depth of the melanoma from the surface of your skin down through to the deepest point of the tumour. It's measured in millimetres (mm) with a small ruler, called a micrometer.
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Can a doctor tell if a mole is cancerous just by looking at it?

A visual check of your skin only finds moles that may be cancer. It can't tell you for sure that you have it. The only way to diagnose the condition is with a test called a biopsy. If your doctor thinks a mole is a problem, they will give you a shot of numbing medicine, then scrape off as much of the mole as possible.
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How deep do they cut for melanoma?

These studies have led to the current widely accepted standard treatment guidelines supported by the National Comprehensive Cancer Network, which recommend 1-cm margins for thin melanoma (<1-mm thick), 1- to 2-cm margins for 1- to 2-mm melanomas, and 2-cm margins for intermediate-thickness melanomas (2-4 mm).
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