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Life After Treatment Follow-Up Management If you have had melanoma, you may be at increased risk for developing a second melanoma in the future. Therefore, early detection of melanoma through skin self-examination and medical examination continues to be of the utmost importance. The first sign of melanoma is often a change in the size, shape, or color of an existing mole or the appearance of a new mole. Since the vast majority of primary melanomas are visible on the skin, you have a good chance of detecting the disease in its early stages. (See Early Detection for more information.) When melanoma is found and treated early, the chances for long-term, disease-free survival are excellent. With treatment, patients with melanoma in situ have a 5- and 10-year overall survival rate of 100%. Five-year survival rates for patients with early-stage (Stage I) melanoma exceed 90 to 95%. As melanoma progresses, survival rates drop significantly. In later-stage disease, 5-year survival rates drop to less than 50%.1 The good news is that with early detection, survival rates have improved steadily in recent years, and 85% of diagnosed patients enjoy long-term survival after simple tumor surgery.2 See also If Melanoma Recurs. References1Balch et al. Final version of the American Joint Committee on Cancer Staging System for Cutaneous Melanoma. J Clin Oncol 2001;19:3635-3648. Lotze MT, Dallal RM, Kirkwood JM, Flickinger JC. Cutaneous melanoma. In DeVita VT, Rosenberg SA, Hellman S (eds.), Principles and Practice of Oncology, 6e. Philadelphia: Lippincott, 2001. |