Does melanoma need to be excised?

Written by Liu Gang
Dermatology
Updated on September 21, 2024
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Melanoma is a type of malignant tumor, which mostly develops from common melanocytic nevi. Once diagnosed with this disease, surgical removal is necessary. After the surgery, a full-body examination is also required to check whether the tumor cells have metastasized. If there is metastasis, further radiotherapy or chemotherapy is needed. If melanocytic nevi appear on the body, it is crucial to handle them properly, ideally by using laser treatment or surgical removal when they are relatively small to prevent the later formation of melanoma. If the melanocytic nevi cause pain, itching, or oozing after scratching, it might be a precursor to malignancy, and formal treatment is necessary.

Other Voices

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Written by Huang Ling Juan
Dermatology
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Does melanoma protrude above the surface of the skin?

Melanoma is generally raised above the surface of the skin. Melanoma is a type of special malignant tumor with a high mortality rate. It usually arises from moles or pigmented spots on the skin that, after intense irritation or specific radiation exposure, undergo changes, leading to gradual growth. Early detection of melanoma offers a significant chance of cure. Melanoma is typically confined to the outer layer of the skin or epidermis. Once melanoma spreads, it becomes difficult to treat, and the chances of survival decrease. Therefore, if you suspect that you have melanoma, it is crucial to visit a dermatology department at a reputable hospital for diagnosis and to undergo surgical removal followed by a pathological examination.

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Written by Cui Fang Bo
Oncology
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Is laser treatment or surgical removal better for melanoma?

Regarding whether laser treatment or surgical excision is better for melanoma, the answer is clear: surgical excision is better. Melanoma originates from melanocytes and is not limited to one layer of the skin. Therefore, for melanoma of the skin, the infiltration depth can sometimes be profound, reaching the dermis layer. Laser treatment sometimes only covers a superficial depth, which cannot achieve complete removal. Surgical excision can completely remove deeper infiltrative parts of the melanoma, and after the excision, complete tissues can be obtained for pathological examination, which helps in staging after the surgery and guides treatment post-surgery. Laser treatment does not offer these benefits. Therefore, current guidelines recommend surgical excision for the treatment of melanoma and do not recommend laser treatment.

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Written by Sun Ming Yue
Medical Oncology
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What are some good methods for treating widespread metastasis of melanoma?

Melanoma greatly torments patients, affecting their physical and mental health, and also unnecessarily harming their external appearance. However, treatment of this disease must be approached with caution. Surgical excision is recommended and is the first choice for the surgical treatment of melanoma. If diagnosed, surgery should be carried out promptly. The extent of excision depends on the type and location of the tumor. After excision, the resulting tissue defect is generally repaired using simple methods initially, followed by reconstructive surgery after confirming no recurrence.

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Written by Huang Ling Juan
Dermatology
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Is melanoma flat or raised?

Melanoma is generally raised and does not have a fixed shape. In the early stages of local growth, melanoma appears flat. As the tumor grows and proliferates, some protrusions may occur, but protrusions should not be equated with malignancy. If a previously flat mole suddenly becomes raised, one should be vigilant about the possibility of malignancy. However, a raised mole is not necessarily melanoma; there are some intradermal nevi or benign skin lesions, and other types of skin cancers can also manifest as raised changes. Therefore, if there are some melanocytic nevi on the skin that quickly develop symptoms such as ulceration, bleeding, pain, or itching, it is important to promptly visit a dermatology department at a standard hospital for an examination and, if necessary, surgical removal and pathological investigation.

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Written by Cui Fang Bo
Oncology
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Melanoma originates from which tissue?

Melanoma does not originate from any specific tissue, but from melanocytes. Therefore, melanoma can occur in any tissue where melanocytes are present. The most common sites for melanoma are the skin and mucous membranes. Additionally, because melanocytes are widely present throughout the body, melanoma can also occur in hollow organs such as the gastrointestinal tract, in skeletal muscles, and in the nervous system. Once diagnosed, melanoma needs to be treated promptly. The main treatments include surgery, radiation therapy, chemotherapy, targeted therapy, and immunotherapy.