How is Stage 1 melanoma removed?

Your doctor will most likely treat stage 1 melanoma with surgery called wide excision, which cuts out the melanoma along with a margin of healthy surrounding skin. The amount of healthy skin removed is determined by the location and the thickness of the melanoma being treated.
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How do they remove Stage 1 melanoma?

Treating stage 1 melanoma involves surgery to remove the melanoma and a small area of skin around it. This is known as surgical excision. Surgical excision is usually done using local anaesthetic, which means you'll be awake, but the area around the melanoma will be numbed, so you will not feel pain.
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How deep do they cut to remove melanoma?

stage 0 melanoma (melanoma in situ), your doctor removes at least 0.5cm of tissue around the melanoma. stage 1 melanoma, the surgeon removes at least 1 cm of tissue around the melanoma. stage 2 melanoma, the surgeon removes at least 2 cm of tissue around the melanoma.
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Is Stage 1 melanoma a big deal?

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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How do they cut out melanoma?

Mohs surgery is done by a specially trained dermatologist or surgeon. In this procedure, the skin (including the melanoma) is removed in very thin layers. Each layer is then looked at with a microscope. If cancer cells are seen, the doctor removes another layer of skin.
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Melanoma Treatment: A Patient Video Guide - Early Stage Melanoma (Part 1 of 4)



Is melanoma removal painful?

Some soreness around the site of the wound is normal. Your doctor may recommend an over-the-counter medicine or give you a prescription to help if you have pain. Your doctor may give you specific instructions on when you can do your normal activities again, such as driving and going back to work.
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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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Does Stage 1 melanoma require chemo?

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 likely is Stage 1 melanoma to spread?

Prognosis for Stage 1 Melanoma: With appropriate treatment, Stage I melanoma is highly curable. There is low risk for recurrence or metastasis.
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How fast does Stage 1 melanoma 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.
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What happens after melanoma is cut out?

After a wide local excision, the tissue removed from around the melanoma will be sent to a laboratory for testing. If the edge of the tissue sample doesn't contain any cancer cells, it is called a clear margin. If the margins aren't clear, you may need further surgery to remove more tissue.
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How can you tell how deep a 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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Does melanoma have deep roots?

Diseases Overview. Malignant Melanoma is a common skin cancer that arises from the melanin cells within the upper layer of the skin (epidermis) or from similar cells that may be found in moles (nevi). This type of skin cancer may send down roots into deeper layers of the skin.
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Do they put you under to remove melanoma?

Procedure: Wide-Excision of Melanoma is usually performed under a general anesthesia, so you will not feel anything. The procedure itself is performed through an incision made over the location of the melanoma after local anesthesia (numbing medicine) has been injected in the area.
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Can melanoma spread after removed?

After you finish treatment, your dermatologist (or oncologist) will still want to see you regularly. Melanoma can return or spread after treatment. If this happens, it's most likely to occur within the first 5 years. During the first 5 years, you'll need thorough check-ups.
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Are you awake for melanoma surgery?

The area is numbed so you don't feel anything, but you're kept awake. The small area is closed with stitches or clips. The procedure may be done under general anesthesia if your surgeon needs to see whether your lymph nodes are involved or if the area that needs to be removed is large.
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How treatable is melanoma if caught early?

Melanoma is usually curable when detected and treated early. Once it has spread deeper into the skin or other parts of the body, it becomes more difficult to treat and can be deadly. The estimated five-year survival rate for U.S. patients whose melanoma is detected early is about 99 percent.
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Can Stage 1 melanoma come back?

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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What organ does melanoma spread first?

Doctors have known for decades that melanoma and many other cancer types tend to spread first into nearby lymph nodes before entering the blood and traveling to distant parts of the body.
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Can Stage 1 melanoma spread to brain?

Among all cancer types, melanoma is especially likely to spread to the brain. Studies estimate that between 40% to 75% of people whose melanoma spreads will end up with one or more brain metastases.
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How long does it take for melanoma to spread to organs?

The lesion can grow slowly for 5 to 15 years in the in situ form before becoming invasive. The exact percentage of lentigo maligna lesions that progress to invasive lentigo maligna melanoma is unknown but is estimated to be less than 30% to 50%.
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What is the new treatment for melanoma 2022?

As a result of these findings, in March 2022, the FDA approved relatlimab plus nivolumab for the treatment of adult and pediatric patients aged ≥12 years who have unresectable or metastatic melanoma.
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What are the signs that melanoma has spread?

Symptoms of advanced melanoma
  • hard or swollen lymph nodes.
  • hard lump on your skin.
  • unexplained pain.
  • feeling very tired or unwell.
  • unexplained weight loss.
  • yellowing of eyes and skin (jaundice)
  • build up of fluid in your tummy (abdomen) - ascites.
  • tummy pain.
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What kind of surgeon removes melanoma?

Dermatologic surgeons treat early melanomas, which are most likely to be cured following surgical removal. Also known as a surgical oncologist, your cancer surgeon specializes in surgical procedures to treat more progressed melanomas.
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When is it too late to treat melanoma?

The investigators found that overall survival (OS) decreased in patients waiting longer than 90 days for surgical treatment, regardless of stage. In addition, the delay of surgery beyond the first 29 days negatively impacted overall survival for stage I melanoma, though not for stage II or III.
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