$Unique_ID{BRK00403} $Pretitle{} $Title{Melanoma and Its Treatment} $Subject{melanoma cancer surgery Skin cancers melanomas malignant skin cancers carcinoma cancerous neoplasm neoplasms Sunbelt colored lesion excision surgical surgery surgeries operation operations National Cancer Information Service resource resources} $Volume{B-20} $Log{} Copyright (c) 1991-92,1993 Tribune Media Services, Inc. Melanoma and Its Treatment ------------------------------------------------------------------------------ QUESTION: We are facing the tragedy of a skin cancer called melanoma in our family. We believe your column could help by telling your readers about this condition and its treatment. Maybe then they can get the help they need, before it's too late. ------------------------------------------------------------------------------ ANSWER: I hate cancers as a group of diseases, and probably melanoma ranks first on my list. It is a malignant skin cancer that develops from the pigment cells in the skin, and although it may take many forms and shapes, can spread through the body so rapidly that it is fatal in just a few short months. It is becoming more and more common, particularly in some of the "Sunbelt" states of the United States, and the number of cases is doubling every 10-15 years. Any colored skin lesion which changes in nature, size or color, must be seen by a physician as soon as possible, for all suspicious lesions must be removed surgically and then analyzed microscopically. A thorough examination of the skin should be performed in high risk individuals; those who have had a melanoma previously, first degree blood relatives of melanoma patients, and particularly individuals with light complexions. Although investigations using medications are ongoing, it is still the wide excision surgical technique, which removes the lesion and a band of surrounding normal skin, that offers the greatest probability of control. The sooner the operation can be performed, while the disease is in its early stages, the better the chances of success. You may learn about participation in clinical trials of new treatments by calling the National Cancer Information Service (1-800-4 CANCER). ---------------- The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician. Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.