Melanoma

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Follow-up after treatment for melanoma skin cancer

Follow-up after treatment is an important part of cancer care. Follow-up for melanoma skin cancer is often shared among specialists, such as the dermatologist, surgeon and oncologist, and your family doctor. Your healthcare team will work with you to decide on follow-up care to meet your needs.

Don’t wait until your next scheduled appointment to report any signs and symptoms that are new or don’t go away. Tell your healthcare team if you have:

  • any new growths, moles or abnormal areas on your skin
  • any new lump or swelling
  • pain or an increase in pain
  • a cough that doesn’t go away

The chance that melanoma skin cancer will come back (recur) is greatest within 5 years, so close follow-up is needed during this time. But since melanoma skin cancer can come back at any time, long-term follow-up is also important.

Schedule for follow-up visits

Follow-up visits for melanoma skin cancer are usually scheduled every 3 to 12 months. It depends on the stage and risk that the cancer will come back. If you were treated for an advanced stage of melanoma skin cancer or have a high risk of recurrence, follow-up is usually done more often for the first 2 to 3 years.

Doctors usually suggest that people with a history of skin cancer have a skin exam at least once every year for the rest of their life.

During follow-up visits

During a follow-up visit, your healthcare team will usually ask questions about the side effects of treatment and how you’re coping. They will also ask about any new signs or symptoms that concern you.

Your doctor will do a physical exam, including a skin exam, to check:

  • the place where the cancer was removed or treated
  • for abnormal areas on the skin on the rest of the body, especially areas that are exposed to the sun
  • for enlarged lymph nodes close to where the cancer started

Your doctor may also teach you about:

Depending on any signs or symptoms you have or your risk that the cancer will come back, your doctor may also send you for imaging tests, such as a CT scan, an x-ray or an MRI, to check if the cancer has spread to other parts of the body.

If the cancer has come back, you and your healthcare team will discuss a plan for your treatment and care.

Questions to ask about follow-up

To make the decisions that are right for you, ask your healthcare team questions about follow-up.

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