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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.
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