Severance Hospital to prepare a rapid treatment program for melanoma. Multidisciplinary care system will also be strengthened

Nov 04, 2024

Severance Hospital has established a melanoma rapid treatment program. On Tuesday morning, we will set up a time to treat only melanoma patients to reduce the waiting period and start treatment within a week after treatment.

Melanoma is a malignant tumor that occurs in melanocytes that produce skin pigment. According to the Ministry of Health and Welfare's cancer registration statistics released in April this year, the number of malignant melanoma patients in Korea in 2021 was 688, more than three times higher than the number of patients in 1999. The 5-year survival rate from 2015 to 2019 is 63.9%, and the prognosis is also poor.

The problem is that most melanoma that occurs in Korea has no symptoms and appears to be a simple dot on the hands and feet. In addition, the later the treatment is, the higher the risk of recurrence and metastasis, and it is difficult to predict when and where it will multiply. This is why it is necessary to start treatment as soon as it is confirmed.



Severance Hospital will also strengthen the multidisciplinary treatment system for melanoma. In order to prevent recurrence and metastasis, it is important not only to completely resect the lesion site, but also to identify the metastasis site through lymph node biopsy, set up the stage, and link chemotherapy and radiotherapy after surgery. Consultative treatment with several departments is essential in this process.

Severance Hospital is conducting all necessary medical treatments in the shortest time, focusing on dermatology, including oncology, radiation oncology, pathology, obstetrics and gynecology, otolaryngology, radiology, ophthalmology, transplant surgery, breast surgery, plastic surgery, and orthopedics. Melanoma is removed from dermatology, and lymph node metastasis is excised by a site-specific specialist.



If melanoma occurs in the head and face, the ear, throat (head and neck surgery) will perform cervical lymph nodes, if it occurs in the arms and hands, the axillary lymph nodes will be performed in breast surgery, and if it occurs in the lower extremities, the inguinal lymph node resection will be performed in transplantation surgery. After that, treatment is performed in the oncology department and radiological oncology department to prevent rapid spread through the blood or lymphatic system.

There are many cases of enjoying daily life while preserving the body with excellent multidisciplinary treatment. Kim, who works in Thailand, found the left foot spot gradually growing, but it was difficult to find a hospital there. Suddenly, when the sole lesion bled and the lump was touched in the groin, he returned to Korea for a biopsy and was diagnosed with malignant melanoma spreading to other areas.



The patient who visited the melanoma clinic at Severance Hospital removed melanoma on the sole of his foot while fully preserving his feet with a mozmicroesophageal surgery. Moz microsophagy is a surgery in which tissue is removed at least around the tumor boundary, and all the boundaries of the removed tissue are observed under a microscope to see if there are any remaining tumor cells and then sutured. Subsequently, the patient underwent groin lymph node resection twice at transplantation surgery. Afterwards, radiotherapy was performed in the Department of Radiation Oncology and targeted therapy was performed in the Department of Oncology. Three and a half years later, I still live my daily life without a recurrence.

Professor Oh Byung-ho, Korea's only dermatologist certified by the American College of Mohs Surgery, said, `As melanoma is a disease whose prognosis worsens rapidly as it reaches the middle stage, rapid diagnosis and treatment are important.' `Since surgery has recently focused on preserving the functions of fingers and toes, good results can be produced only when based on a multidisciplinary medical system.'

Severance Hospital to prepare a rapid treatment program for melanoma. Multidisciplinary care system will also be strengthened
Professor Oh Byung-ho's medical treatment





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