NCCN Guidelines for Patients® | Melanoma

59 NCCN Guidelines for Patients ® : Melanoma, 2018 5  Treatment guide In situ and local melanoma He or she may consider a baseline MRI scan of your brain if you have stage IIIC and have no symptoms. A baseline is a starting point to which future test results are compared. For clinical stage III and stage III clinical satellite or in-transit melanoma, your doctor will perform a biopsy on the enlarged lymph nodes to test them for cancer cells. An FNA biopsy is the preferred method, but an excisional, incisional, or core biopsy is also an option. (Read page 20 and 24 for details on each type of biopsy.) You may also have imaging tests for baseline staging and to check out specific signs or symptoms of cancer. For example, you may have a CT scan of your pelvis if your doctor feels enlarged lymph nodes in your groin. Next steps  See Guide 12 on page 61 for treatment options for stage III melanoma. “ For the past six years I have felt very involved in every surgery plan, every radiation plan, every chemical plan. I have worked with three surgeons, my oncologist and all of their great support team members. We have made joint decisions throughout the process. - Marty, current age 55 diagnosed at age 49