Understanding Melanoma: A Comprehensive Guide

Essential Information for Patients and Caregivers

Oncology

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Last updated: Mar 24, 2025

What is Melanoma?

Melanoma is the most serious type of skin cancer, developing in melanocytes - the cells that produce melanin, which gives skin its color.

Key Risk Factors

  • Excessive UV exposure (sunlight and tanning beds)
  • Fair skin, light hair, and light eyes
  • Family history of melanoma
  • Multiple moles or atypical moles
  • Previous sunburns, especially in childhood

The ABCDE Rule for Identifying Melanoma

  • Asymmetry: One half unlike the other
  • Border: Irregular or poorly defined edges
  • Color: Varies from one area to another
  • Diameter: Usually greater than 6mm
  • Evolving: Changes in size, shape, or color

Stages of Melanoma

  1. Stage 0 (In situ)
  2. Stage I (Localized)
  3. Stage II (Localized, deeper)
  4. Stage III (Regional spread)
  5. Stage IV (Distant spread)

Treatment Options

  • Surgery (wide local excision)
  • Immunotherapy
  • Targeted therapy
  • Radiation therapy
  • Chemotherapy

Prevention Strategies

  1. Apply broad-spectrum sunscreen (SPF 30+)
  2. Wear protective clothing
  3. Avoid peak UV hours (10am-4pm)
  4. Regular skin self-examinations
  5. Annual professional skin checks

When to Seek Medical Attention

  • New moles appearing in adulthood
  • Changes in existing moles
  • Unusual skin growths
  • Any spot that matches ABCDE criteria

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