Doctor insights on:
Best Intraocular Melanoma Treatment
Skin is the largest and one of the most complex organs in the body composed of hundreds of different structures. Nearly any of these elements can degenerate into cancer. However the three most common are: basal cell, squamous cell and melanoma which occur in that order and degree of aggressiveness. Although heredity plays a major role, sun exposure and tobacco use & ...Read more
Depend on stage: Surgery is the only curative therapy for early stage melanoma (the 5- and 10-year survivals are: 97% and 95% for stage ia, 92 and 86% for stage ib, 81 and 67% for stage iia, 70 and 57% for stage iib, 78% and 68% for stage iiia, 59 and 43% for stage iiib, 40 and 24% for stage iiic). For stage IV or metastatic disease, cure is rare, and is seen mainly with immunotherapy such as high dose il2 or ipi. ...Read moreSee 2 more doctor answers
Usually surgery: Assuming that the melanoma has not spread to other organs, the first treatment is to surgically remove the affected skin with a rim of normal skin. Then, certain patients will also need to have an operation to remove 1 or more lymph nodes depending on the spread. In select cases, melanoma that has spread to other organs is surgically removed. Other patients will need chemotherapy and radiation. ...Read moreSee 1 more doctor answer
Depends: Currently, surgical excision is the standard of care. However, depending on the stage of a patient's melanoma there are some new treatments that may show promise for the future. Vemurafenib is one such treatment, but it is used in a very specific set of patients. Melanoma vaccines are also theoretically possible but have not been very successful to date. ...Read moreSee 1 more doctor answer
No best treatment: Vaginal melanoma is considered mucosal disease and this type tends to spread via the blood to other organs in the body more readily. There is no known best treatment for stage iic. However, based on a recent study, chemotherapy with Cisplatin and temodar (temozolomide) every 3 weeks for 6 cycles are reasonable. However, enrolling in a clinical trial if available is the best option. ...Read moreSee 1 more doctor answer
My father is ostensibly inflicted to melanoma. Could you give me an idea of the best treatment centers for melanoma in the world?
Several: Some of the best melanoma places are the national cancer institute (bethesda, md), md anderson cancer center (houston, tx), memorial sloan kettering cancer center (ny, ny), moffit cancer center (tampa, fl). In ohio, you are probably closer to ohio state university or cleveland clinic. However, these 2 programs are good but not well known for melanoma. ...Read moreSee 1 more doctor answer
How long can you live with stage 4 metastatic melanoma with mets spread into the brain. What kind of treatment is best?
Radiation +/- surg: If there is only one or two brain metastasis it may be treated with surgery + radiation therapy. More than that number of brain mets usually treated with radiation alone. Disease in body may respond to targeted therapy (e.g. Zelboraf + Mekinist). Yervoy has also helped many. Prognosis depends on a large number of factors which I cannot assess. ...Read more
74 year old father has melanoma, congestive heart failure and copd. What are the best forms of treatment?
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