CancerFax
Skin Cancer

Melanoma (Advanced & Metastatic)

Melanoma has been transformed by BRAF-targeted therapy and immune checkpoint inhibitors, with combination nivolumab-ipilimumab achieving durable responses in a subset of metastatic patients. BRAF V600 mutation status, tumor mutational burden, and LDH are key prognostic and predictive factors. CancerFax helps patients with advanced or refractory melanoma access BRAF-MEK combinations, novel IO strategies, and clinical trials.

  • BRAF V600, TMB & melanoma molecular profiling
  • BRAF-MEK combo, dual checkpoint & TIL therapy
  • Advanced melanoma specialist & clinical trial access
Key Test
Biopsy · Imaging · Molecular Panel
Advanced Therapies
Targeted Therapy · Immunotherapy
Critical Factor
Molecular profile · Stage at diagnosis

What is Melanoma

Types and Subtypes

Understanding the specific type and molecular subtype of melanoma is essential for determining the most appropriate treatment approach.

Symptoms and Signs

Symptoms of melanoma vary by stage and tumor location. Early-stage disease may be asymptomatic or cause only subtle symptoms.

Diagnosis and Staging

Definitive diagnosis requires tissue biopsy and comprehensive staging imaging. Molecular testing is essential for treatment planning.

Staging

Staging determines treatment intent and guides therapeutic decision-making.

Standard Treatment

Treatment is determined by histologic type, stage, molecular profile, and performance status.

Advanced & Emerging Therapies

The treatment landscape for advanced melanoma continues to evolve with new targeted agents and immunotherapy combinations.

  • Immunotherapy

    Checkpoint Inhibitors

    Pembrolizumab and nivolumab-based regimens have transformed recurrent/metastatic disease in eligible patients based on PD-L1 expression and molecular profile.

    Approved
  • Targeted Therapy

    Molecular-Guided Targeted Agents

    Specific targeted agents are available for molecularly defined subgroups. Comprehensive NGS at diagnosis identifies eligible patients.

    Available

Biomarkers & Precision Medicine

Molecular biomarker testing is increasingly important for treatment selection in advanced disease.

When to Seek a Second Opinion

Specialist review is valuable at key decision points in management.

Clinical Trials & Research

Prognosis & Outcomes

Prognosis is stage- and molecular profile-dependent.

Supportive Care

Supportive care is integral to maintaining quality of life throughout treatment.

How CancerFax Helps You Explore Treatment Options

CancerFax supports melanoma patients by reviewing pathology, BRAF mutation status, PD-L1 expression, and staging; coordinating specialist melanoma oncology second opinions; facilitating access to BRAF/MEK inhibitor combinations, pembrolizumab, nivolumab + ipilimumab, and clinical trials; and supporting patients exploring specialist melanoma treatment globally.

Get a free case review

Frequently Asked Questions

Melanoma arises from melanocytes — the pigment-producing cells of the skin. While it accounts for only ~1% of skin cancers, it causes the large majority of skin cancer deaths due to its propensity for early metastasis. Cutaneous melanoma is the most common form; rarer subtypes include acral lentiginous melanoma (arising on palms, soles, and nail beds — more common in Asian and African populations), mucosal melanoma (arising in oral, nasal, anal, or genitourinary mucosa), and uveal (ocular) melan... Treatment depends on stage and molecular profile. Contact CancerFax for specialist guidance.