NCCN Guidelines for Patients® | Melanoma

Contents 7
How to use this book 8
1 Melanoma basics 9
Melanoma basics 9
Layers of the skin 10
About melanoma 10
How melanoma spreads 12
Types of melanoma 14
Signs and symptoms of melanoma 14
Melanoma risks and prevention 17
Review 19
2 Tests for melanoma 20
General health tests 21
Tumor tissue tests 22
Lymph node tissue tests 26
Blood tests 27
Imaging tests 27
Review 29
3 Melanoma staging 30
Staging 31
TNM scores 31
Stages of melanoma 34
Review 36
4 Overvew of melanoma treatments 37
Surgery 38
Immunotherapy 42
Targeted therapy 45
Vaccine therapy 46
Chemotherapy 46
Radiation therapy 48
Clinical trials 50
Review 52
5 Treatment Guide 53
Melanoma testing 54
In situ and local melanoma 57
Regional melanoma 62
Persistent melanoma or recurrence 66
Metastatic melanoma 74
6 Making treatment decisions 78
Making treatment decisions 78
It’s your choice 79
Questions to ask your doctors 79
Deciding between options 84
Websites 85
Review 85
Dictionary 87
Acronyms 94
NCCN Panel Members for Melanoma 97
NCCN Member Institutions 98
Index 100

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