NCCN Guidelines for Patients® | Melanoma - page 56

56
NCCN Guidelines for Patients
®
: Melanoma
Version 1.2013
Part 6: A step-by-step treatment guide
Follow-up tests
6.2.3 Follow-up testing
Stage
• Complete skin exam every year for life,
• Monthly self-exam of skin, and
• Imaging tests for specific symptoms
Stage 0
Stages I and IIA
Stages IIB and IIC
• Complete skin exam every year for life,
• Monthly self-exam of skin and lymph nodes,
• Imaging tests for specific symptoms, and
• Medical history and physical exam every 3 to 12 months for 5 years, then every year
as needed
• Complete skin exam every year for life,
• Monthly self-exam of skin and lymph nodes,
• Imaging tests for specific symptoms, and
• Medical history and physical exam
- Every 3 to 6 months for 2 years, then
- Every 3 to 12 months for 3 years, then
- Every year as needed,
• Possible imaging tests every 3 to 12 months to screen for recurrence, and
• Possible brain MRI each year
Part 6.2.3 describes the recommended follow-up tests
after completing treatment for stage 0, I, or II melanoma.
Follow-up tests are used to check for cancer recurrence
or spread. A recurrence is when cancer comes back
(recurs) after treatment.
Three main follow-up tests are used for all stages of
melanoma. First, you should have a complete skin exam
by your doctor every year for life. Second, you should
examine your own skin once a month. Third, you should
receive imaging tests if specific signs of cancer appear.
Possible imaging tests include a CT scan, PET/CT scan,
and an MRI. Routine blood tests to check for recurrence
are not recommended.
No other follow-up tests are suggested for stage 0 (in
situ) melanoma. For stages I and II melanoma, you
should have regular medical history check-ups and
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