Follow-up care after treatment of malignant melanoma
Goal of follow-up
- Diagnose local recurrence/distant metastases while the tumor volume is still small and easier treatable, preferably by surgery.
- Impart knowledge about self-exams and good sun habits
- Impart security
- Assess other pigmented lesions
Control frequency and content
- Malignant melanoma in situ - one simple check for information, scar inspection, as well as education for self-exams and sun habits.
- Malignant melanoma with Breslow thickness < 1 mm: check-up every 3 months for 3 years, thereafter as needed.
- Malignant melanoma with Breslow thickness > 1 mm: check-up every 3 months for 3 years, thereafter every 6 months for 2 years and further as necessary. This depends on the thickness of the primary tumor.
- Weight loss
- Other symptoms
- Inspection and palpation of operation scar
- Palpation of all lymph node regions
- Inspection of skin surface
- X-ray examinations depending on the thickness of the melanoma, disease stage, as part of evaluation of treatment and possible inclusion in studies.
- Blood test screening
In patients who do not participate in clinical studies and who are symptom-free, it is not necessary to perform supplementary examinations.
The patient should be checked every 2-3 months with naso/sinoscopy the first year after primary treatment, and every 3-4 months in the second year. Thereafter, biannually for at least 3 years for a total of 5 years.