What is melanoma?

Written by Gong Chun
Oncology
Updated on September 12, 2024
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Melanoma, also known as malignant melanoma, originates from the malignant transformation of melanocytes. It is commonly found in individuals with fair skin, blond or red hair, and blue eyes, who are often prone to this type of disease, particularly in tropical regions where the condition is more prevalent. The incidence rate increases after the age of fifty, and the rate of occurrence between men and women within the same group is quite similar. In a minority of cases, melanoma can also occur in parts outside of the skin, such as the anus, rectum, esophagus, or inside the eyes. When the tumor is confined within the epidermis, referred to as in situ carcinoma, it can be cured through surgery. If there is metastasis, treatment may include immunotherapy, chemotherapy, or local radiotherapy.

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Melanoma stage IV is the fourth stage.

Melanoma stage IV refers to the fourth stage of melanoma, where IV represents the Roman numeral for 4. Stage IV melanoma means that the melanoma is no longer confined to the local lesion but has metastasized to distant organs. The most common locations for melanoma include the skin and mucous membranes, with typical metastatic sites including the lungs, brain, liver, etc. Once diagnosed as stage IV, there are no indications for surgical treatment. Treatment primarily involves a comprehensive approach combining chemotherapy, radiotherapy, targeted therapy, and immunotherapy.

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How to distinguish whether melanoma is benign or cancerous

Melanomas are always malignant; there are no benign melanomas. Benign lesions are called pigmented nevi, which are usually classified into three types: intradermal nevi, junctional nevi, and compound nevi. When a pigmented nevus becomes malignant, it is then referred to as melanoma. Therefore, in clinical practice, when we mention melanoma, we are referring to malignant melanoma. Malignant melanoma is staged based on the degree of invasion and whether it has metastasized. Treatment methods vary depending on the stage, and there are differences in treatment approaches. Therefore, if a pigmented nevus visibly enlarges over a short period, and shows symptoms such as ulceration, bleeding, or pain, it is necessary to promptly visit a reputable hospital's dermatology department for surgical removal, followed by a pathological examination.

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What are the symptoms of subungual melanoma?

Subungual melanoma, clinically, displays different symptoms depending on the stage. In its early stages, subungual melanoma primarily manifests as changes in nail color, with some cases showing localized thickening of the nail. As the melanoma progresses, abnormal secretions such as bloody or serous fluids may appear under the nail, and the nail itself may become uneven. As the subungual melanoma invades surrounding tissues, symptoms such as swelling, pain, or bleeding in the localized fingernail may occur. In advanced stages, symptoms of metastatic sites, such as coughing, chest pain, and chest tightness from lung metastases, can also manifest.

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Can melanoma be detected by ultrasound?

Melanoma is a very serious disease, and if detected in its early stages, treatment should be sought promptly. If treatment is delayed, the effects of treating the disease in its advanced stages are not very good or significant. Melanoma is a type of malignant tumor that is prone to occurrence and poses a significant risk, endangering life. Generally, if melanoma is being tested, the Vacca double PAP immunoenzymatic marking method is used for detection.

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Melanoma check what items

If patients suspect that they have melanoma, they must go to a qualified hospital for examination. The diagnosis of melanoma mainly relies on visual inspection of colored moles that vary in color and shape, which can be directly observed with the eye. Also, if previously existing moles have enlarged or changed shape recently, these are signs that we need to pay attention to. If patients are suspected of having melanoma after a diagnosis, it is recommended to perform a complete excisional biopsy of the lesion, followed by a pathological examination after the surgery.