Small excisions may be closed with stitches and
heal without problems.
Large excisions or those located on the
hands, face, or feet may require a
skin graft to close the wound after surgery.
The type of anesthetic used for your surgery depends on the size
and location of the melanoma. Surgery on small, easily reached melanomas may
require only a
local anesthetic, while surgery for larger melanomas
There is a wide range of treatment approaches, including excision, radiation therapy, cryosurgery, electrodesiccation and curettage, photodynamic or laser-beam light exposure, and topical therapies. Mohs micrographic surgery is a form of tumor excision that involves progressive radial sectioning and real-time examination of the resection margins until adequate uninvolved margins have been achieved, avoiding wider margins than needed. Each of these methods is useful in specific clinical situations...
Recovery after surgery to remove a melanoma depends upon the site
and extent of surgery. The wound may take longer to heal if reconstructive
surgery techniques such as
skin grafts are used.
Why It Is Done
Surgery is the most common treatment for melanoma. Sometimes lymph nodes may be removed at the same time to check them for cancer. Surgery also may be done to remove lymph nodes that have cancer or to remove tumors that may have spread to other parts of the body.
How Well It Works
Surgery to remove the melanoma usually cures melanoma if it is found early. Surgery may cure melanoma if the cancer is only in the nearby lymph nodes.
Surgery may be used to treat metastatic
melanoma. This only cures the cancer in a few cases. But surgery may provide the most effective and longest-lasting relief of
Risks of surgery to remove melanoma include:
of skin graft.
What To Think About
Your doctor may need to do a biopsy (sentinel lymph node biopsy) of the lymph nodes near the melanoma to see if the cancer has spread (metastasized). The biopsy will be done before or during surgery to remove the melanoma.