NCCN Guidelines for Patients® | Melanoma - page 54

NCCN Guidelines for Patients
®
Melanoma, Version 1.2014
52
5.1
Treatment guide
Melanoma testing
Chart 5.1.2
shows the tests recommended after
your doctor has confirmed that you have melanoma.
For your medical history, your doctor will ask about
general symptoms, changes in the look and size of
the tumor, and any lifetime medical conditions. Your
doctor will also assess your risk for melanoma. A
risk factor is anything that increases the chance of
getting a disease. Your risk is higher if you have had
melanoma before, have a history of unusual moles,
or if any of your immediate family members have had
melanoma.
During the physical exam, your doctor will note
the current size, shape, color, and texture of the
melanoma tumor. Any bleeding and scaling will be
recorded. Your doctor will feel your lymph nodes and
organs near the lesion to check if they are normal in
size and firmness. A complete skin exam will be done
to check for other unusual spots or moles.
Based on the biopsy test results, pathology report,
and physical exam, your doctor will determine the
clinical stage of the melanoma. The clinical stage
is a rating of the extent of melanoma in your body
based on tests done before surgery. Which tests and
treatments you will have next depends on the clinical
stage of melanoma. (Read Part 3 on page 26 for
more details on melanoma stages.)
Exams
• Medical history,
• Physical exam with focus on nearby lymph nodes and organs,
• Complete skin exam, and
• Assess for risk factors for melanoma.
Chart 5.1.2 Medical history and physical exams
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