10 doctors weighed in:
How do you treat a malignant melanoma on bottom of foot?
10 doctors weighed in

Dr. Eric Whitman
Surgery - Oncology
6 doctors agree
In brief: Same treatment
Treatment will be dictated by the same features as any melanoma: physical exam for possible metastatic disease, tumor thickness, ulceration, and mitotic rate.
Thus the treatment will likely include wide excision and possibly sentinel node biopsy . The main difference for this location is that reconstruction of the primary site could require skin graft or a flap.

In brief: Same treatment
Treatment will be dictated by the same features as any melanoma: physical exam for possible metastatic disease, tumor thickness, ulceration, and mitotic rate.
Thus the treatment will likely include wide excision and possibly sentinel node biopsy . The main difference for this location is that reconstruction of the primary site could require skin graft or a flap.
Dr. Eric Whitman
Dr. Eric Whitman
Thank
Dr. Richard Orr
Surgery - Oncology
3 doctors agree
In brief: Removal
With wide excision (removal with an appropriate amount of normal skin around it) and possibly sentinel node biopsy.
The width of the excision varies depending on the thickness of the melanoma as does the need for node biopsy. Depending on the location, you may be able to have the wound closed with stitches (not common), have a skin graft (more common), or have a complex plastic surgical repair.

In brief: Removal
With wide excision (removal with an appropriate amount of normal skin around it) and possibly sentinel node biopsy.
The width of the excision varies depending on the thickness of the melanoma as does the need for node biopsy. Depending on the location, you may be able to have the wound closed with stitches (not common), have a skin graft (more common), or have a complex plastic surgical repair.
Dr. Richard Orr
Dr. Richard Orr
Thank
1 comment
Dr. Jeffrey Kass
I agree With Dr. Orr, and would only add to see a specialist like Dr.Orr. I feel this is something that should be dealt with by a surgical oncologist.
2 doctors agree
In brief: BIOPSY TO CORFIRM
If positive, excision. Check lymph nodes.

In brief: BIOPSY TO CORFIRM
If positive, excision. Check lymph nodes.
Dr. Darrell Latva
Dr. Darrell Latva
Thank
Dr. Travis Kidner
Surgery - Oncology
2 doctors agree
In brief: Surgery
Surgery is the mainstay in the treatment of melanoma.
The melanoma needs to be excised with a margin of normal skin around it. And depending on the characteristics o the melanoma a sentinel lymph node procedure may need to be performed.

In brief: Surgery
Surgery is the mainstay in the treatment of melanoma.
The melanoma needs to be excised with a margin of normal skin around it. And depending on the characteristics o the melanoma a sentinel lymph node procedure may need to be performed.
Dr. Travis Kidner
Dr. Travis Kidner
Thank
Get help from a real doctor now
Dr. Christopher Crosby
Board Certified, Dermatology
12 years in practice
93K people helped
Continue
107,000 doctors available
Read more answers from doctors