Stage 1 Melanoma - Melanoma Research Alliance (2024)

Stage 1 Melanoma - Melanoma Research Alliance (1)

Stage I melanoma is no more than 1.0 millimeter thick (about the size of a sharpened pencil point), with or without an ulceration (broken skin). There is no evidence that Stage I melanoma has spread to the lymph tissues, lymph nodes, or body organs.

Stage I melanoma is considered local melanoma (this group also includes Stage 0 and Stage II melanoma).

Stage I melanoma is divided into two subgroups:

Stage IA Melanoma: The melanoma tumor is less than 1.0 millimeter thick (less than the size of a sharpened pencil point) with or without ulceration (broken skin) when viewed under the microscope.

Stage IB Melanoma:The melanoma tumor is more than 1.0 millimeter and less than 2.0 millimeters thick without ulceration.

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About Staging: Melanoma staging is based on theAmerican Joint Committee on Cancer (AJCC)staging system. The system assigns a stage based on tumor-node-metastasis (TNM) scores as well as additional prognostic factors. The goal is that melanomas of the same stage will have similar characteristics, treatment options, and outcomes. Learn more about melanoma staging.

Treatmentfor Stage 1 Melanoma: Stage I melanoma is treated by removing the tumor surgically. Wide local excision, a minor surgery, usually cures local melanoma. This may be accompanied by a sentinel lymph-node biopsy in some instances, but this is not recommended for all patients. Learn more about melanoma treatments.

Prognosis for Stage 1 Melanoma: With appropriate treatment, Stage I melanoma is highly curable. There is low risk for recurrence or metastasis. The 5-year survival rate as of 2018 for local melanoma, including Stage I, is 98.4%. Learn more about melanoma survival rates.

Follow-Up Care for Stage 1 Melanoma: After being treated for Stage I melanoma, you should conduct monthly self exams of your skin and lymph nodes and have an annual, full-body skin exam performed by a trained dermatologist for the rest of your life. You should also undergo a physical exam by your doctor every 6 to 12 months for the first 5 years, and then annually as needed.Imaging tests may be ordered as needed to monitor for recurrence.

Just Diagnosed? If you've been recently diagnosed with melanoma, you are not alone. TheMelanoma > Exchangeis a free online melanoma treatment and research focused discussion group and support community. Through the Melanoma > Exchange, anyone touched by Melanoma can find support, ask questions, and build community among people who share a similar experience. Join the Community.

Melanoma Staging:

Were you or a loved one just diagnosed with melanoma?We have the resources to help.

Stage 1 Melanoma - Melanoma Research Alliance (2)

Stage 1 Melanoma - Melanoma Research Alliance (2024)

FAQs

What is the 10 year survival rate for Stage 1a melanoma? ›

Stage IA. The 5-year survival rate is around 97%. The 10-year survival rate is around 95%.

How bad is stage 1 melanoma? ›

Stage 1 is considered a 'thin melanoma'. If your melanoma is caught before it is too thick the prognosis is very good. Nearly 19 in 20 people who have a stage 1 melanoma are alive at least five years after being diagnosed. Stage 1 is the least serious type of melanoma.

How quickly should stage 1 melanoma be removed? ›

However, in early stage cases, early diagnosis allows for the opportunity to improve the chances of survival with a prompt surgery. Although many physicians treat melanoma surgically three to four weeks after diagnosis, there is no official recommendation on time to treatment.

What is the recurrence rate of stage 1 melanoma? ›

Despite this, approximately 20–30% of early stage melanoma patients develop a recurrence during their lifetime, with much higher rates seen in patients with regionally advanced disease [2]. The optimal timing and modality of surveillance after initial diagnosis and treatment is not known.

Can you live a long life after stage 1 melanoma? ›

Five-Year Survival Rate by Melanoma Stage:

Localized melanoma: Stage 0, Stage I, and Stage II: 98.4% Regional melanoma: Stage III: 63.6%

How fast does stage 1 melanoma spread? ›

Melanoma can grow very quickly. It can become life-threatening in as little as 6 weeks and, if untreated, it can spread to other parts of the body. Melanoma can appear on skin not normally exposed to the sun. Nodular melanoma is a highly dangerous form of melanoma that looks different from common melanomas.

Can you get rid of Stage 1 melanoma? ›

Treatments for Stage I Melanoma

Your doctor will most likely treat stage 1 melanoma with surgery called wide excision, which cuts out the melanoma along with a margin of healthy surrounding skin. The amount of healthy skin removed is determined by the location and the thickness of the melanoma being treated.

What is the protocol for Stage 1 melanoma? ›

Stage I melanomas have grown into deeper layers of the skin, but they haven't grown beyond the area where they started. These cancers are typically treated by wide excision (surgery to remove the tumor as well as a margin of normal skin around it).

Does stage 1A melanoma spread? ›

Stage IA and Stage IB melanoma has no evidence of spread to nearby lymph nodes, and no evidence of metastasis to distant sites. Stage IA and Stage IB are differentiated by depth of tumor and ulceration: Tumors that are less than 0.8 mm without ulceration are Stage IA.

How deep do they cut to remove melanoma? ›

For example, for melanomas less than 1 millimeter thick, a 1-centimeter margin of normal skin surrounding the tumor or the biopsy scar is removed to make sure no cancer cells remain. In general, melanomas thicker than 1 millimeter require the removal of a 2-centimeter margin of healthy tissue.

What is the new hope for melanoma patients? ›

Now experts are testing new jabs that are custom-built for each patient and tell their body to hunt down cancer cells to prevent the disease ever coming back. A phase 2 trial found the vaccines dramatically reduced the risk of the cancer returning in melanoma patients.

Can melanoma spread after removed? ›

After you finish treatment, your dermatologist (or oncologist) will still want to see you regularly. Melanoma can return or spread after treatment. If this happens, it's most likely to occur within the first 5 years. During the first 5 years, you'll need thorough check-ups.

Does Stage 1A melanoma spread? ›

Stage IA and Stage IB melanoma has no evidence of spread to nearby lymph nodes, and no evidence of metastasis to distant sites. Stage IA and Stage IB are differentiated by depth of tumor and ulceration: Tumors that are less than 0.8 mm without ulceration are Stage IA.

Can you live longer than 10 years with melanoma? ›

Survival for all stages of melanoma

around 90 out of every 100 people (around 90%) will survive their melanoma for 5 years or more after diagnosis. more than 85 out of every 100 people (more than 85%) will survive their melanoma for 10 years or more after they are diagnosed.

How is Stage 1A malignant melanoma treated? ›

Treatments for Stage I Melanoma

Your doctor will most likely treat stage 1 melanoma with surgery called wide excision, which cuts out the melanoma along with a margin of healthy surrounding skin. The amount of healthy skin removed is determined by the location and the thickness of the melanoma being treated.

What does Stage 1A melanoma mean? ›

Stage 1A. Stage 1A means the: melanoma is less than 1 mm thick.

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