# Melanoma Staging

## 11 Aug Melanoma Staging

Staging is commonly used in melanoma diagnosis and treatment to indicate the advancement and severity and cancer in a patient. Melanoma stages range between 0-IV based on the TNM (tumour, nodes, metastasis) system. The TNM system is dictated by the size of the primary (first) tumour, the occurrence of cancer cells in the surrounding lymph nodes, whether the cancer has metastasized (spread to other regions in the body), and whether there is ulceration (if there is ulceration, the skin covering the melanoma cannot clearly be seen). While these figures can be intimidating in the later stages, the staging system is imperative for dictating the treatment process a patient will undergo.

Following are some tables (courtesy of the Canadian Cancer Society) that break down the TNM system based on tumours, lymph nodes and metastasis.

Below is the ‘T’ of TNM: tumour staging.

Table 1: Canadian Cancer Society, “Stages of Melanoma”

Here is a visualization, provided by the National Comprehensive Cancer Network, of tumours stages 1-4:

Figure 1: National Comprehensive Cancer Network, “NCCN Guidelines For Patients” (2014), p. 27.

The table below describes the staging for nodes, the ‘N’ in TNM.

Table 2: Canadian Cancer Society, “Stages of Melanoma”.

The following table outlines the stages of ‘M’; metastasis.

Table 3: Canadian Cancer Society, “Stages of Melanoma”.

In “Table 4” (Canadian Cancer Society), we see how the Union for International Cancer Control and the American Joint Committee on Cancer use tumour, lymph node and metastasis staging to determine a final melanoma staging.

Stage 0-I:

Table 4 (1/4): Canadian Cancer Society, “Stages of Melanoma”.

Stage II:

Table 4 (2/4): Canadian Cancer Society, “Stages of Melanoma”.

Stage III:

Table 4 (3/4): Canadian Cancer Society, “Stages of Melanoma”.

Stage IV:

Table 4 (4/4): Canadian Cancer Society, “Stages of Melanoma”.

While staging is clearly a complicated process with many variables, it is important to understand why a particular cancer case has been given its stage, and what that means for the future treatment of that patient.

Thank you for reading, and we hope this answers some of your questions about melanoma staging! For more information, take a look at our sources below. Be aware that while we write our blogs from a Canadian perspective, not every source we utilize is Canadian.

Works Cited:

Melanoma Staging”. NCCN Guidelines for Patients: Melanoma. 2014: National Comprehensive Cancer Network Foundation.

Canadian Cancer Society, “Stages of Melanoma“.