DISEASE SCANNER

Global Incurable Diseases Tracker

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Cancer

Metastatic Melanoma

HIGH SEVERITY

Advanced skin cancer that has spread to lymph nodes or distant organs (stage III/IV). While treatments have dramatically improved survival, metastatic melanoma remains incurable for most patients. Often involves BRAF V600 mutations (~50%).

Global Affected

150.0K

Countries

15

Symptoms

Changing or new moles (ABCDE criteria)
Lymphadenopathy
Systemic symptoms
Organ-specific symptoms from metastases
Brain metastases (common)

Treatment Options

Surgery
Chemotherapy
Radiation therapy
Immunotherapy
Targeted therapy
Hormone therapy
Stem cell transplant
Palliative care

Risk Factors

1Age
2Family history
3Genetic mutations
4Smoking
5Alcohol consumption
6Obesity
7Physical inactivity
8Environmental exposures
9Infections (HPV, HBV, HCV, H. pylori)

Diagnostic Methods

  • 1Biopsy
  • 2Imaging (CT, MRI, PET)
  • 3Tumor markers
  • 4Genetic testing
  • 5Endoscopy
  • 6Blood tests
  • 7Screening programs

Prognosis

Dramatically improved outcomes with modern immunotherapy. Ipilimumab/nivolumab combination offers 50-60% 3-year survival in treatment-naive patients. BRAF/MEK inhibitors for BRAF-mutant disease offer 12-15 months median progression-free survival. Brain metastases treated with stereotactic radiosurgery have 30-40% 1-year control. Complete responses occur in 15-20% of immunotherapy patients and may be durable long-term. LDH level and number of metastatic sites predict outcome.

Prevention

  • Smoking cessation
  • Sun protection
  • Healthy diet
  • Regular exercise
  • Vaccination (HPV, HBV)
  • Screening programs
  • Limit alcohol
  • Maintain healthy weight

Research Status

Checkpoint inhibitors (ipilimumab/CTLA-4, pembrolizumab/nivolumab/PD-1) and targeted BRAF/MEK inhibitors (dabrafenib/trametinib, encorafenib/binimetinib) have transformed outcomes. TIL therapy (lifileucel) approved.

Sources

  • https://www.cancer.gov
  • https://www.who.int/cancer
  • https://www.cancer.org

Medical Disclaimer

This information is for educational purposes only. Always consult healthcare professionals for medical advice, diagnosis, and treatment.