Melanoma
Early detection, definitive excision, structured surveillance.
Melanoma is the most serious form of skin cancer because of its capacity to spread — but caught early it is also among the most curable. Thickness at diagnosis is the single most powerful predictor of outcome.
- Urgent
- Priority
- Local
- Anaesthesia
- Breslow
- Staging
- Lifelong
- Follow-up
- Digital dermatoscopy & mole mapping
- Excision biopsy & Breslow staging
- Wide local excision
- Sentinel lymph node referral
Diagnosed first, treated second.
Care follows an established pathway: dermatoscopic detection, excision biopsy for staging, then wide local excision with margins determined by depth. Sentinel node assessment is arranged where the pathology indicates it.
- 01Digital dermatoscopy & mole mapping
- 02Excision biopsy & Breslow staging
- 03Wide local excision
- 04Sentinel lymph node referral
- 05Structured surveillance programme
- A mole changing in size, shape or colour
- A new dark lesion in adulthood
- An irregular or multi-coloured mole
- Personal or family history of melanoma
- Many atypical moles requiring mapping
How the treatment works
A sequence, not a single appointment — each step informs the next.
- 01
Dermatoscopic detection
Digital dermatoscopy and mole mapping identify suspicious lesions early.
- 02
Excision biopsy
The lesion is removed narrowly to establish diagnosis and Breslow thickness.
- 03
Definitive excision
Wide local excision with margins set by depth, and reconstruction as required.
- 04
Staging & surveillance
Sentinel node and imaging where indicated, then lifelong scheduled review.
Results measured, not promised.
What to expect
- 01Melanoma detected at the earliest stage possible
- 02Complete excision with guideline margins
- 03Accurate staging to guide further care
- 04Coordinated oncology input when required
- 05Whole-body surveillance and mole mapping
Begin with a diagnosis,
not a guess.
Share a few details and the clinic will reply with available consultation times for melanoma — one-to-one with Dr. Arely.
- Response
- Within 24 hours
- Consultation
- One-to-one, 45 min
- Assessment
- Trichoscopy included
- Location
- Dr. Arely Clinic
Frequently asked
Change — in size, shape, colour, border or symptoms such as itching or bleeding.
Thin, early melanoma has an excellent cure rate with surgery alone.
The first establishes thickness; the second removes the margin that thickness dictates.
First-degree relatives are advised to have a baseline skin examination.