NCCN Guidelines for Patients® | Melanoma - page 57

57
NCCN Guidelines for Patients
®
: Melanoma
Version 1.2013
Par t 1
Par t 2
Par t 3
Par t 4
Par t 5
Par t 6
Par t 7
Par t 8
Par t 9
Part 6: A step-by-step treatment guide
Definitions:
Imaging tests:
Tests that
make pictures (images) of
the inside of the body
Lymph nodes:
Small
groups of special disease-
fighting cells located
throughout the body
Metastatic melanoma:
Cancer that has spread to
parts of the body far from
the first tumor
Nonmetastatic
recurrence:
Cancer that
came back after treatment
but has not spread from
from the first tumor
Persistent melanoma:
Cancer cells that remain
after surgery or that
weren’t destroyed by other
treatments
!
See Part 2 on page
16 for more test
details and definitions.
physical exams. Your doctor will look carefully at your lymph nodes and skin
during the physical exam. The chart to the left lists the recommended exam
schedule. During the monthly self-exam of your skin, you should also check
your lymph nodes. For stages IIB and IIC melanoma, you may have imaging
tests to check (screen) for cancer recurrence that isn’t causing symptoms.
Possible imaging tests for screening include a chest x-ray, CT scan, and PET/
CT scan every 3 to 12 months and a brain MRI every year. These tests may
be done for up to 5 years after treatment has ended. Imaging tests are not
recommended after 5 years if there has been no recurrence and you don’t have
any symptoms.
Next steps:
If follow-up tests show that the cancer has come back, treatment
options will depend on the type of recurrence. For persistent melanoma or
nonmetastatic recurrence, see Part 6.4. For metastatic melanoma, see Part 6.5.
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