Treatment of melanoma includes removing the tumor and often medications and other treatments. Your doctor will determine the best treatment plan for you based on how far the melanoma has spread and your general health.
The focus of this article is the treatment of melanoma skin cancer. For information about treatment of nonmelanoma skin cancer, including basal and squamous cell skin cancers, go to Treatments for Skin Cancer (Nonmelanoma).
Surgical Excision of Melanoma
Melanoma treatment begins with the surgical removal of the tumor. Doctors often perform a lymph node biopsy at the same time to check if the cancer has spread to nearby lymph nodes. These surgeries are generally performed on an outpatient basis. Most people are able to return to their normal activities within a few days. Find a dermatologist for skin cancer removal on the Healthgrades website.
Your doctor will use one of the following methods to remove melanoma:
- Mohs micrographic surgery removes the tumor layer by layer. Each layer of skin tissue is checked for cancer cells with a microscope. Your doctor takes away layers until no cancer cells are seen. This technique causes the least amount of scarring. It is a good choice for high-risk tumors and tumors on the face and ears.
- Wide excision cuts out a tumor, some tissue below it, and some surrounding healthy tissue. The amount of tissue removed depends on the size and depth of the tumor. Your doctor may also use the wide excision technique to biopsy a tumor to diagnose skin cancer.
Other Melanoma Treatments
Surgical removal may be the only treatment needed for some small tumors that have not spread beyond the top layer of skin. Your doctor will develop a more complex treatment plan for melanoma that has grown or spread beyond the top layers of skin.
Treatment plans include one or more of the following treatments. These treatments all have a variety of side effects and possible complications, which can be serious. Talk to your doctor to be sure you understand all the benefits and risks of the following treatments:
- Biologic therapy, or immunotherapy, includes medications that boost your body’s immune system to help fight off melanoma. It can also decrease the chance that cancer returns after treatment. Biologic therapy may help reduce the side effects of other cancer treatments. Doctors often use it with other forms of treatment such as chemotherapy.
- Targeted therapy is a form of treatment that targets cancer cells without harming the normal cells. These drugs work by specifically killing cancer cells, blocking their growth, or preventing their spread.
- Chemotherapyis medication that kills cancer cells, as well as some normal cells. Chemotherapy is given in pill form or through an IV.
- Radiation therapyuses radiation to kill cancer cells.
- Lymph node removalinvolves surgery to remove skin cancer that has spread to lymph nodes. This helps prevent the spread of skin cancer to other parts of the body.
- Clinical trialsstudy new medications and treatments. Clinical trials are developed in the course of cancer research. Many melanoma patients benefit from clinical trials, especially if their cancer is not responding to conventional treatments or they have unmanageable side effects.
How to Talk to Your Doctor About Melanoma Treatment
It’s important to talk to your doctor to understand your treatment options and how experienced your doctor is in treating melanoma. Here are a few questions to get you started:
- How advanced is my melanoma?
- What type of treatment do you recommend for my type and stage of skin cancer?
- How many patients with melanoma have you treated?
- How many times have you performed the skin cancer removal procedure you recommend? What results have your patients had?
- Will I need other treatments? What are the risks and benefits of these treatments?
- What is my risk of a return of cancer and other complications and problems? Ask about your specific risk of problems and how your doctor plans to reduce or prevent them.
- Melanoma is the least common but most dangerous kind of skin cancer and causes about 75% of skin cancer deaths.
- Melanoma has a cure rate of 98% if treated before it spreads beyond the top layer of skin.
- Treatment of melanoma is based on how far it has spread and your general health.
- Treatment includes surgery to remove the tumor and possibly removal of lymph nodes.
- Other treatments include chemotherapy, radiation therapy, biologic therapy, and targeted therapy.