NCCN Guidelines for Patients
Part 9: Dictionary
Dermal mitotic rate
A measure of how many cancer cells
are actually growing and dividing.
A doctor who’s an expert in diseases
of the skin.
A doctor who’s an expert in testing
skin cells and tissues for disease.
The second layer of skin that is
beneath the top layer (epidermis).
Growth of dense connective tissue.
A melanoma tumor with dense
To identify a disease.
Identification of a disease.
The spread of cancer cells from the
first tumor to a far site in the body.
Melanoma that came back after
treatment and cancer cells have
spread to tissues or organs beyond
the first melanoma and nearby lymph
Swelling around tissues due to the
buildup of fluid.
Bigger in size than normal.
The outer layer of skin.
Removal by surgery.
Surgery that removes the entire tumor
to test for cancer cells.
Excisional lymph node biopsy
Surgery that removes the entire
enlarged lymph node(s) to test for
Excisional skin biopsy
Surgery that removes the entire skin
tumor to test for cancer cells.
External beam radiation therapy
Radiation therapy (use of high-energy
rays to destroy cancer cells) received
from a machine outside the body.
The tumor has grown beyond the
edge of the organ into nearby tissue.
Severe tiredness despite getting
enough sleep that limits one’s ability
Fine-needle aspiration (FNA) biopsy
Use of a thin needle to remove fluid or
tissue from the body to be tested for
The first treatments given to treat
Tests done after treatment to
check for signs that the cancer
has come back.