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The follow-up clinic is for patients who have already had melanoma or
non-melanoma skin cancer diagnosed and treated. It focuses on early
detection of recurrences or new lesions. Every patient with a history of melanoma (or
at risk for melanoma or non-melanoma skin cancer) who is seen at Huntsman Cancer Institute receives
individualized treatment and follow-up recommendations.
Early Detection
For melanoma, the vast majority that have not already metastasized are
completely asymptomatic, although visible on the skin surface to the naked
eye. Any persistent lesions that bleeds, ulcerates or becomes crusty or scaly should be
evaluated. Most non-melanoma skin cancers present as new or changing lesions
of the skin. Early detection requires inspection of the skin. The skin can
be examined by dermatologists, by primary care physicians, by other professionals
who provide primary care, and by patients and their families. Skin examinations
can be used to reduce mortality from skin cancer. Since no one is free
from risk, everyone should check their skin regularly.
High Risk
High-risk patients, such as those with multiple atypical moles, history
of melanoma or non-melanoma skin cancer, or a significant family history of melanoma, are
encouraged to obtain periodic dermatologic screening. A screening program
that involves periodic dermatologic examination as well as patient and
family education about warning signs and skin self-examination can save lives.
Follow-up Visits
Follow-up visits are an important factor in treatment. Doctors rely mainly
on regular office visits and physical examinationsemphasizing full-body
examination of the skinto diagnose skin cancers as early as
possible. The average number of follow-up visits can decrease
gradually over time, from frequent visits in the first year after
treatment to an annual visit afterward, depending on the patient's history and condition.
For patients with advanced melanoma, the next most common follow-up tests are
chest x-rays and simple blood tests. These are intended mainly as a check
on the patient's general health. Some surgeons will also infrequently
perform advanced tests, such as specialized blood tests or CT or MRI scans.
Dr. Wolfram Samlowski sees patients with advanced melanoma. To schedule
an appointment call (801) 585-0100.
For patients with low-risk melanoma or non-melanoma skin cancer, follow-up
visits usually involve a complete skin exam. To schedule an appointment with
Glen Bowen, MD,
Sancy Leachman, MD, PhD or
Douglas Grossman, MD, PhD, call 801-581-2955.
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