The information on this site is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Content within the patient forum is user-generated and has not been reviewed by medical professionals. Other sections of the Melanoma Research Foundation website include information that has been reviewed by medical professionals as appropriate. All medical decisions should be made in consultation with your doctor or other qualified medical professional.

Treatment Options For Acral Letiginous Melanoma

Forums Cutaneous Melanoma Community Treatment Options For Acral Letiginous Melanoma

  • Post
      What are the treatment options for ALM? Also, I’m looking for recommendations for a melanoma specialist in Northern NJ. Thanks in advance.
    Viewing 0 reply threads
    • Replies

          Treatment is the same as it would be for regular cutaneous melanoma. Biopsy, wide local excision (sometimes toe amputation is necessary depending on location and depth), then sentinel lymph node biopsy if it is deep enough to warrant one, then immunotherapy if found that it has spread.


              If you have been diagnosed with Acral Lentiginous Melanoma (ALM), there are many factors which will influence your treatment options. Primarily…how deep the melanoma is and where it is on the body.

              I was diagnosed with ALM in 2010. My stage was determined to be 2A after a Sentinel Lymph Node Biopsy (SLNB). However, the SLNB is only needed if the melanoma is beyond 1 mm in depth. 

              If you have the biopsy results, they will indicate the particulars about your melanoma, which will be taken into account in determining your treatment. Important factors are: Breslow's depth, mitotic rate, ulceration, signs of spreading into the lymph or cardiovascular systems, and clear (or not clear) margins.

              I hope this helps. I was treated in California, so I don't have any recommendations for treatment in Northern New Jersey, but if you have a positive diagonis of ALM, you should be seen by a melanoma specialist.

              We are here to support you in every way that we can!

              Best regards,

        Viewing 0 reply threads
        • You must be logged in to reply to this topic.
        About the MRF Patient Forum

        The MRF Patient Forum is the oldest and largest online community of people affected by melanoma. It is designed to provide peer support and information to caregivers, patients, family and friends. There is no better place to discuss different parts of your journey with this cancer and find the friends and support resources to make that journey more bearable.

        The information on the forum is open and accessible to everyone. To add a new topic or to post a reply, you must be a registered user. Please note that you will be able to post both topics and replies anonymously even though you are logged in. All posts must abide by MRF posting policies.

        Popular Topics