Malignant
Usually, your family doctor will know if your lesion is a simple mole or if it raises any problems. If he/she believes you need further investigations, he/she will arrange for you to see a dermatologist or a plastic surgeon.
The specialist will examine your mole and he/she can decide to make an excision biopsy. That means that your mole will be removed under local anesthesia and it will be examined under the microscope by a pathologist looking or melanoma cells. If it is a melanoma, the surgeon will suggest a wide local excision. Most melanomas are found at an early stage when there is a high chance of a cure. Most people need no further treatment after the surgery mentioned above.
Deeper melanomas are more likely to reach a blood vessel or lymphatic channel and spread. When a melanoma spreads, it goes to the lymph nodes first. So, the surgeon may recommend you a procedure called a sentinel lymph node biopsy (a way of identifying and testing the first lymph node into which the melanoma drains). The treatment for patients with clinically positive regional lymph nodes without evidence of distant metastatic disease would include wide excision of the primary lesion and therapeutic lymphadenectomy.
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