Doctor insights on:
Malignant Melanoma Skin Cancer
Many: The treatment for melanoma involves removing the primary site with a margin depending on the depth of the melanoma. In addition for high risk lesion a sentinel lymph node biopsy is performed. If these lymph node contains melanoma the remainder of the lymph nodes are removed from that basin. Treatment for distant disease can involve surgery, chemotherapy and or immunotherapy. ...Read moreSee 1 more doctor answer
Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...Read more
Diagnosed- malignant melanoma 5/2017 Diagnosed - treated for anal cancer 5/2016. Pet scan done in March '16. If MM has spread, wouldn't PET scan show?
PET scan is a good t: PET scan is a good test to detect metastatic cancer. In fact it is our best imaging test to catch metastases early. Yet it has some limitations in that it can not show microscopic tumors/ small # of cells in the body...it only shows tumors that are bigger than half a centimeter (>5 mm). That is why this test has to be repeated every 3 to 4 months when there is a risk for the tumor to come back. ...Read more
I had malignant melanoma in 1994. What are the chances of it recurring. Should i still get annual skin check-ups.
Neither: Acrochordons are a fancy name for skin tags, which are benign (not cancerous) growths that tend to occur as we age. They can often be found on the neck, armpits, and groin-- pretty much anywhere where the skin tends to rub. No one knows what causes them, but they are definitely not dangerous. Many things can look like skin tags though, so best to see your dermatologist to check them out. ...Read moreSee 1 more doctor answer
Minimally: While skin cancer apps are getting more reliable, they are not yet sophisticated enough to replace an exam by a dermatologist with a dermatoscope and they certainly cannot replace the diagnostic accuracy of a biopsy. While consulting an app may be helpful, seeing a specialist is best to resolve your concerns. ...Read more
Benign: Sk's are easily confused for skin cancers due to their large size, irregular shape, and being multicolored. A trained dermatologist can easily spot the difference but very confusing for patients and other doctors. People can have hundreds or even thousands of sk's on their body and they are all benign. But having these cover the body may make it difficult to monitor for skin cancers. ...Read moreSee 2 more doctor answers
Genetic and UV: Melanoma is a malignant tumor of melanocytes. It does have a familial component - meaning there are genetic mutations that put you at higher risk for development of melanoma. Uv exposure (especially with tanning beds) can put you at high risk as well. ...Read moreSee 2 more doctor answers
Depends on depth: The prognosis for melanoma depends greatly on the stage at diagnosis. In the absence of spread to lymph nodes or other sites, the depth of the melanoma is the most important factor which predicts outcome. The deeper the tumor invades the more risk of it spreading/recurring. I caught early, melanoma is very curable. Discuss the case in question with your dermatologist or oncologist. ...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
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
Does a completely removed potential precursor to malignant melanoma atypical nevus return in same place? Does it return as a malignant melanoma?
No: If it was removed completely, it will not return. This is why it's good to take margins. If it does recur at the site, it will probably still be a benign lesion, but keep an eye on it. The most important thing about a diagnosis of atypical nevus is that it warns you're likely to get a melanoma someplace else. Keep an eye on all your skin (partner, dermatologist) and quick removal will save you! ...Read moreSee 1 more doctor answer
No evidence: Standard of care is surgical resection for early stages. For unresectable stage 3 or metastatic stage 4, treatments can be chemotherapy (dacarbzine or temodar), or immunotherapy such as interleukin-2, or ipilimumab. Targeted drugs for braf-positive melanoma are zelboraf, tafinlar, or mekinist. Enroll in a clinical trial is highly recommended. No evidence that oncothermia by itself is effective. ...Read moreSee 1 more doctor answer
Not typically: This technique of heating tumor has been used in melanoma in a very limited way. One way, in the past was to isolate the vessels of a leg and pump heated chemotherapy through it. It had limited success. The recent exciting treatment through targeted therapy and control of the immune system have made oncothermia less interesting in melanoma in the us. ...Read moreSee 2 more doctor answers
The term malignant can be used in several medical contexts, but is primarily used to describe cancers. More dangerous and disorderly than the benign growth of cells, malignant cells have developed genetic changes that can allow it to invade other tissues in an unregulated way. These tumors can later spread, or metastasize, to other parts of the body and ...Read more
A condition in which some element of your skin--which is one of the most complex organs in the body--degenerates into cancer. The three most common types of skin cancer 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 and ...Read more