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Melanoma

Follow-up

Frequency

ClassificationFollow up
TisCompleted after excision
Group 1
T1a
Completed after 3 months follow-up. Self-control afterward
Group 2
T1b, IB
MM < 0.8 mm with ulceration
T1b, IB
MM 0.8 – 1.0 mm +/- ulceration T2a, IB
MM 1.1 – 2.0 mm without ulceration
T2b, IIA
MM 1.1 – 2.0 mm with ulceration
T3a, IIA
MM 2.1 – 4.0 mm without ulceration 
Follow-up every ½ year in 5 years. 

Afterwards control yearly at general practitioner, or dermatologist. 

* If sentinel node could not be identified during surgery, the patient will be scanned by radiological imaging at minimum 6 and 12 months control. 
Group 3
T3b, T4a, T4b – any stage
T1b, T2a, T2b, T3a, stage III 
Follow-up every 3rd month in first 2 years, then every ½ year in last 3 years.
PET-CT in month 0, 6, 12, 24 and 36 months.
An ultrasonic scan of positive sentinel node region(s) every 3rd month in first 2 years, then every ½ year in last 3 years (if not total lymph node dissection is performed). 
Group 4
All metastasis without known primary tumor (T0, N category, and M category). 
Indicidual follow-up, but often as the group above. 
Indication for PET-CT at follow-ups Follow-up consultation Surgery and Diagnosis

Procedures

Procedures