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MELANOMA is a skin cancer
that arises from pigment
cells called melanocytes. Melanoma is recognized
as the most dangerous form
of skin cancer.
The layer of cells between
the epidermis and the dermis,
called melanocytes, produces the brown-black skin
pigment melanin, which
determines the color of the skin and
hair. Melanin
also helps
protect the body from
harmful radiation from the sun. Melanocytes
form clusters
that appear
on the surface of the skin as
small, dark, flat
or dome-shaped
spots. These are
usually harmless moles.
During cell proliferation
(the proliferation
of body tissue by
cell division,
an increase in the number of cells
or only
genomes in polyploidy
by mitosis,
leading to tissue
growth, unlike other
methods of increasing its
mass), benign spots
are formed, usually referred
to as moles
or nevi.
Sometimes, however, the pigment cells
get out of control
and become
cancerous - which
means life–threatening melanomas.
Melanoma accounts for less than 5%
of all skin cancers,
but in
most cases
it leads
to death
from skin
cancer. First, melanoma
cells are located in
the epidermis and the upper
layers of the dermis. However,
as they
grow deeper
into the dermis, the cancer
can come
into contact
with the lymph nodes
and blood
vessels. Melanoma cells
usually spread first
through the lymphatic vessels
and glands.
Melanoma cells can
also spread
through the blood vessels
of various organs, carrying
cancer to the liver,
lungs, brain, or
other areas.
Melanoma tends to grow
in several
stages: most melanomas
tend to spread and
grow over
the entire surface of the skin. At
this early
stage, which can
last 1-5
years or
longer, the removal of growing
melanomas has excellent
chances. However, there
is a possibility that some
of these
melanomas are invasive
(internal, deep) and
should be treated more
harshly. Lesions that
become domed, at
least part
of their surface, shows
that there
has been a downward growth of cancer
cells. In some
cases, this growth
occurs very quickly,
within weeks or
months.
Types of
melanoma:
- Superficial
spread of melanoma. The superficial spread
of melanoma is the most well-known and
most treatable
type of melanoma. These
are flat, asymmetrical, unevenly colored
formations that usually
grow outward
through the surface of the skin. The superficial
spread of melanoma accounts
for about 70% of melanomas.
In men,
they appear
most often on the back.
In women,
melanomas are most often seen
on the back of
the legs.
- Nodular melanoma. Nodular
melanoma appears as
a fast-growing brown or
black lump,
the technical characteristics of which do not
always correspond to the definitions described
above. It is important to check for this
type of melanoma because
it is associated
with an outbreak of other
tumors. Nodular melanoma
accounts for about 5%
of all
melanomas. It is usually
seen on
the trunk or limbs.
- Malignant lentigos. Malignant
lentigos (sometimes called
Hutchinson's freckles) usually
occur in the elderly
and are characterized by flat, mottled,
yellow-brown freckles that look like spots
with uneven
borders. These lesions
often appear
on the face or
other sun-exposed skin
areas and usually grow
slowly, over a period
of 5-15 years before
cancer occurs. Malignant
lentigo melanomas account
for 4-15% of melanoma.
- Acral Lentiginus melanoma.
Although rare, Acral
Lentiginous melanoma is
the most common melanoma
among African
and Asian
populations. It usually
appears as a dark spot
on the palms, soles,
fingers or toes,
under the nails or
toenails, or in
the mucous membranes.
There
are several other types
of melanoma, but they
are relatively rare.
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