The doctors plan the melanoma treatment in order to minimize side effects. For example, to prevent large scars, they try to remove only the portion of tissue necessary to avoid a melanoma recurrence. In general, the resulting scars of a surgical removal of melanoma at an early stage, have a length between 2 and 5 cm and tend to disappear over time. The scar is more or less visible in relation to the location of the melanoma, the ability to heal of the patient and the possible appearance of keloids. When the cancer has spread, often large amounts of skin and surrounding tissue, including muscle tissue, are removed. Although skin grafting can reduce the size of a scar caused by the removal of a widespread melanoma, the signs will be fairly obvious.
The surgery for removing lymph nodes under the arm or groin may damage the lymphatic system and slow the flow of lymph in the arms or legs. The lymph may stagnate in a limb and cause swelling (lymphedema). The doctor or nurse can suggest exercises or other techniques to reduce swelling if it becomes a problem. After removal of the lymph nodes, infectious phenomena can occur more easily in the limbs, in which case patients will have to protect the leg or arm from cuts, scrapes, bruises, or burns that can cause infections. If this happens, however, the patient should inform his doctor immediately.





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