Stage II melanoma is only in the skin and there is no sign that it has spread to lymph nodes or other parts of the body.

Stage II is divided into IIA, IIB and IIC.

Stage IIA means one of the following:

  • the melanoma is between 1 and 2mm thick and is ulcerated
  • it is between 2 and 4mm and is not ulcerated

Stage IIB means one of the following:

  • the melanoma is between 2 and 4mm thick and is ulcerated
  • it is thicker than 4mm and is not ulcerated

Stage IIC means:

  • the melanoma is thicker than 4mm and is ulcerated

After your initial biopsy, you will then be offered a wide local excision and you may also be offered a sentinel lymph node biopsy.

Your melanoma will be discussed by a Specialist  Skin Cancer Multi-Disciplinary Team (SSMDT), which includes a dermatologist (skin doctor), a plastic surgeon, an oncologist (cancer doctor), a specialist nurse, a pathologist (a doctor who reviews the biopsy) and a radiologist (x-ray/scan doctor) and possibly some other types of support staff to discuss your treatment options.

If your sentinel lymph node biopsy is positive, your melanoma will be considered stage III and you would be eligible for adjuvant treatment. An oncologist will discuss these  treatments with you.

If your sentinel lymph node biopsy is negative you could only be offered adjuvant treatment as part of a clinical trial as it is not known if this treatment is beneficial in this situation as yet. For further information on clinical trials see here.

The following information should be used as part of a discussion with your medical team about the most appropriate treatment for your melanoma. Patients should also be aware that they may not be suitable for all the diagnostic interventions and treatments outlined below. There may also be variation in access to some of these due to regional service variation and limited clinical evidence.

 

Values you may wish to consider during treatment

    • How important is it to you to know the risk of your melanoma and its prognosis?
    • Do you want the treatment that is most likely to leave your daily life unaffected?
    • How much do you want to avoid having a visible scar after treatment?
    • How much time are you prepared to spend in hospital having treatment?
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