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Stage 4 melanoma is the most serious of the different types of skin cancers. You may also see it written as "stage IV melanoma". Either way it's expressed, this kind of skin cancer is extremely dangerous, and not something to ignore.
This level of disease is considered incurable, but treatment can make it much easier to live with.
Your doctor can help you better understand this disease and what is going on. The more you learn about it, the better your chances of avoiding stage 4 melanoma. If you already have it, learning about this kind of skin cancer can help you get through treatment more successfully. Here's the basic information you need to know about this very serious medical condition.
Stage 4 melanoma is a type of skin cancer that has spread beyond the site of the original tumor. This is called metasis. In stage 4, the cancer has spread beyond the lymph nodes in the area of the tumor. It has appeared in distant sites in our bodies.
The most common areas for this are the vital organs, like the lungs, stomach, heart, liver, bone and even the brain. Soft tissue, like skin and lymph nodes, might also be affected.
The main factors doctors consider when deciding what kind of stage 4 cancer someone has include the location of the tumors, how many there are, and how big they have gotten. They also look at the level of serum LDH, a substance that indicates cancer in vital organs.
The earliest type of stage 4 cancer has spread to distant skin, to the tissue under the skin, or to distant lymph nodes. It isn't found anywhere else, though. In later stages, the tumor may have moved to the lungs, or to other organs, and LDH levels are high.
There are no treatments available right now that will help people with this type of skin cancer live longer or cure their disease. But there are a few experimental treatments being tested. Many people with stage 4 skin cancer decide to get involved in clinical trials for these experiments in the hope of a cure. Regular treatment focuses on helping people be more comfortable and live a more normal life with this kind of cancer.
If you have stage 4 skin cancer, you might have surgery to remove tumors or cancer in the lymph nodes if they are causing problems. You might also have chemotherapy or radiation therapy to destroy cancer cells. Immunotherapy can boost the immune system and help your body fight off disease.
Treatment for stage 4 cancer keeps going on in the long term. But there are follow up appointments for most people. These might happen every week, once a month, or once every three months.
They're scheduled according to how bad the symptoms are and what kind of effects the cancer is causing. Doctors may do tumor marker tests to see if the cancer is spreading. These tests can also help doctors find out if a treatment is working the way it should. Markers that are tested include proteins like S-100B and MIA. Doctors also use one of the test used to detect HIV, to find out if tumors are spreading.
The prognosis for advanced malignant melanoma is usually poor. Only about half of the people who find out they have stage 4 skin cancer live for another year. But there are still some factors that can improve your chances.
People who have fewer cancer sites or who don't have cancer in their bones or vital organs are more likely to survive. People who get stage 4 cancer after more than a year of treatment of an earlier stage also have better chances.
Women, people who respond well to treatment, and people who can get through their day without a lot of problems are also more likely to do well with this kind of cancer. Stage 4 skin cancer is a very serious disease that we can't cure yet.
But we can do our best to make sure that living with it is close to normal. Learning more about this kind of cancer is the first step to learning to deal with it.

"This website is for all skin cancer patients, their families and friends. I want people to know that they can overcome this disease by learning what to do, where to go for great medical help, how to deal with insurance and all the other problems facing them.
I have worked with some great people to make this web site easy to understand and devoted to helping you. Please let me know if anything doesn't help you or if we can do something more that would be useful to you.
The most important factor in a person getting healthy is their personal determination and their will to be better. You have to summon that determination and then take the steps described here - we are here to help and support you."
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