As a melanoma patient, we must first understand what disease we have in order to be effectively cured. Therefore, when you find out that you have melanoma, you must first confirm your condition, know the cause of your illness, and understand all aspects of the disease. Now, let's learn about the cure for melanoma. 1. Surgical resection: It is advisable to perform early resection of the primary tumor. If the frozen section confirms that it is a melanoma, the surgery should be extended. Traditional theory believes that the resection range should include a 5cm area outside the tumor. However, in recent years, people tend to agree with Mohs's view that only a 1cm area outside the tumor is required for the face, and a 2cm area outside the tumor is sufficient for melanomas in other parts of the body. 4 to 6 weeks after surgery, regional head and neck lymph node clearance can be performed according to the drainage direction of the scalp lymph nodes, which is beneficial to improve the survival rate. 2. Physical healing: Suitable for superficial and early lesions. Laser or liquid nitrogen can be used, and radiation therapy can be used after surgery. 3. Chemical cure: For those with metastatic disease, chemotherapy can delay the deterioration of the disease. (1) Anti-melanoma factor (triazine imidazole amine, abbreviated as DIC or DTIC), 2.5 mg/kg per day added to 150 ml of 5% glucose solution or normal saline for rapid intravenous drip (10-15 minutes), 10 days as a course of treatment, and a second course of treatment can be done after 3 weeks. It has the effect of inhibiting bone marrow and gastrointestinal reactions and cold-like symptoms. A white blood cell count must be checked before the second course of treatment. For patients in the advanced stage, the ipsilateral external carotid artery can be catheterized to facilitate multiple continuous injections to improve the efficacy. (2) BCNU: 2.5 mg/kg added to 250-500 ml of glucose solution or normal saline and intravenously dripped twice a week for 3 weeks as a course of treatment. (3) Lomustine (CCNU) 200 mg orally once every 6 weeks. Inject metoclopramide (Metoclopramide) before taking the medicine to prevent vomiting. Lomustine (CCNU) also has a bone marrow inhibitory effect, and the white blood cell count needs to be checked repeatedly. 4. Immunotherapy: Use vaccines made from autologous tumors, intradermally injected 1 to 2 times a week. In addition, aldesleukin (interleukin-2) (20,000 U per day, 20 days as a course of treatment), BCG vaccination, transfer factor, levamisole, LAK cells, Chinese herbal medicine, etc. can be used to improve immunity. The above mentioned are all common treatment measures for melanoma. Patients may wish to choose a method that suits them. During the healing period, we also need to take daily care measures to alleviate the condition. |
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