From the beginning of the year until now, many patients who come to the Central Dermatology Hospital with lesions are black pigmentation plaques in the feet, hands that have been diagnosed by doctors as melanoma and progress.Treatment.This reflects a problem that people have not been interested in dermatological diseases in general and skin cancer in particular.

Like patient N.V.T.(born in 1950), the skinny body came to the exam with a black note in the liver near the right heel.The patient said that the damage has existed for many years but because it is not itchy, pain or discomfort, the patient does not care.Over time, this black note not only does not lose but also grows and changes the patchy shape on the skin surface.When family members read articles about skin cancer online, seeing the sign described similar to the patient, so they encouraged the patient to go to the doctor.

At the National Hospital of Dermatology, patients were examined, appointed blood tests, ultrasound, dermoscopy - a specific test in dermatology, which can detect signs of skin cancer early.The diagnostic result shows that patients with melanoma cell cancer in the soles of the right foot.

The patient was surgery to cut the entire cancer and tested the medical tissue, in order to accurately determine the level of invasion, the stage of the disease, thereby having a timely treatment plan,Suitable for the disease stage.

Luckily for patients is when screening on screens, ultrasound and regional lymphadenopathy during surgery, there is no sign of metastasis.After that, the patient had a surgery to widen damage, in accordance with the treatment of melanoma to ensure removal of cancer cells, limiting recurrence and skin defect after removal of the block.U is shaped by skin grafting technique.

Whether melanoma cancer is dangerous

According to MSc Vu Nguyen Binh - Department of Plastic Surgery & Rehabilitation, Central Hospital of Dermatology said that melanoma cell cancer is a malignant disease developed from melanoma cells, as cells responsible for producing melanin, pigmentation formation.

Currently, the incidence of this disease tends to increase.In 2023, about 97,610 new malignant cases occurred in the United States, causing about 7,990 deaths.Statistics of some countries show that the incidence of the disease doubled after 10-15 years and gradually increased with age.The highest incidence was recorded in Australia 40/100,000 people;In the US 12/ 100,000 people and in Vietnam 0.4/ 100,000 people.

Black cell cancer is less common than other types of skin cancer.Although only about 1%, melanoma cell cancer is the cause of most deaths related to skin cancer due to its invasive properties and rapid metastasis.

Dark cancer cells invade and metastasize to other organs by moving through tissues, blood and lymphatic systems.Cancer cells can metastasize to every position on the body, most commonly in the brain, lungs, liver ... Although the disease has a high metastasis rate, if it is detected early and treated in the right regimen,Giving good results, the 5 -year survival rate is very high.

5 typical signs of melanoma

According to MSc Vu Nguyen Binh, melan cell cancer can manifest in every position on the body.However, in Asians often encountered the palms of their hands, accounting for about 50% of cases.Most of the patients we treat are also the same.

Starting is a heterogeneous color pigmentation area, brown alternating black gray, clear limit, no pain, no itching.The lesions spread around, may have ulcers or high tumors.Some authors believe that moles in some easy -to -shock positions such as hands, feet, or shaving area are at high risk of progressing into melanoma cell cancer and advice is to remove moles earlyIn these positions.

"We often experience melanoma under the nail, manifested by uneven hyperpigmentation lesions, accounting for a part or the whole of the foundation.Because it is easy to mistake for other diseases such as moles under the nail, bleeding due to trauma, inflammation around the nail, fungal infection, rice seeds under the nail., especially with the lesions spreading the length of the nail, "Dr. Binh shared.

Most of the disease occurs on hyperpigmentation lesions in the areas of the spleen, rubbing.Malignant tumors at the local stage often do not affect the health of patients, so they are often overlooked.

The initial signs of melanoma can be quite diverse.In fact, patients can apply ABCDE rules, which are early signs of melanoma, to check for abnormal damage on the body.

A (asymmetry - asymmetric): Moles or hyperpigmentation traces have no symmetrical shape.

B (border - lesions): irregular lesions, jagged or blurred.

C (Color - Color): irregular colors, can include many different colors such as black, brown and even red or blue.

D (diameter - diameter): diameter greater than 6 mm.

E (Evolving - Progress): Damage changes in size, shape or color over time.