What is considered a small melanoma?

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.
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How small can melanomas be?

Diameter: There is a change in size, usually an increase. Melanomas can be tiny, but most are larger than the size of a pea (larger than 6 millimeters or about 1/4 inch). Evolving: The mole has changed over the past few weeks or months.
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Can melanomas be really small?

The D criterion has been a matter of controversy since all melanomas are smaller than 6 mm in early stages and a significant proportion of melanomas may be smaller than 6 mm at the time of diagnosis.
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What size is early melanoma?

Early melanomas

Stage I: The cancer is smaller than 1 mm in Breslow depth, and may or may not be ulcerated. It is localized but invasive, meaning that it has penetrated beneath the top layer into the next layer of skin.
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What is considered a small ocular melanoma?

The observational arm of the Collaborative Ocular Melanoma Study defined a small choroidal melanoma as being 1–3 mm in thickness and 5–16 mm in LBD; tumors smaller than this were regarded as probable nevi.
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Melanoma symptoms: How to spot signs, and when to see a doctor



How long does it take for ocular melanoma to metastasize?

Approximately 50% of ocular melanoma patients will develop metastatic disease within 15 years of the original diagnosis, and currently there is no cure for metastatic OM.
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How fast does eye melanoma grow?

Approximately 50% of patients with OM will develop metastases by 10 to 15 years after diagnosis (a small percentage of people will develop metastases even later i.e. 20-25 years after their initial diagnosis).
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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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Can a very small mole be melanoma?

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. Credit: See a GP as soon as possible if you notice changes in a mole, freckle or patch of skin, particularly if the changes happen over a few weeks or months.
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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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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 melanoma be 1mm?

Tumor thickness: The thickness of the melanoma is called the Breslow measurement. 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.
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Can melanoma be 1mm wide?

A 1 mm black dot, often with a fine scale on top, can be in-situ or minimally invasive melanoma. That said, fifty percent of superficial spreading melanoma have an identifiable nevus in them. That nevus is the presumed precursor lesion.
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Can a melanoma be less than 6mm?

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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Does the size of a 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 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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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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Can a 4mm mole be cancerous?

Stage 1A – the melanoma is less than 1mm thick. Stage 1B – the melanoma is 1mm to 2mm thick, or less than 1mm thick and the surface of the skin is broken (ulcerated) or its cells are dividing faster than usual. Stage 2A – the melanoma is 2mm to 4mm thick, or it's 1mm to 2mm thick and ulcerated.
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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 do you know if you caught melanoma early?

Although the American Cancer Society does not have guidelines for the early detection of skin cancer, knowing your own skin is important to finding skin cancer early. You should know the pattern of moles, blemishes, freckles, and other marks on your skin so that you'll notice any new moles or changes in existing moles.
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Does melanoma affect eyesight?

Large eye melanomas often cause vision loss in the affected eye and can cause complications, such as retinal detachment, that also cause vision loss. Small eye melanomas can cause some vision loss if they occur in critical parts of the eye. You may have difficulty seeing in the center of your vision or on the side.
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What is considered a large ocular melanoma?

This system divides eye melanomas into small, medium, and large: Small: Between 1 mm and 3 mm in height and between 5 mm and 16 mm across. Medium: Between 3.1 mm and 8 mm in height and no more than 16 mm across. Large: More than 8 mm in height or more than 16 mm across.
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Is ocular melanoma a death sentence?

Choroidal melanoma is a disease with a high mortality rate, usually irrespective of the chosen treatment modality. About 30-50% of patients with choroidal melanoma will die within 10 years from diagnosis and treatment. Death is usually secondary to distant metastases, and the risk is greatest in larger tumors.
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