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Dermatology service

Melanoma Diagnosis & Treatment in Wasilla & Anchorage, AK

Early detection and coordinated treatment for the most serious skin cancer.

About Melanoma

Melanoma is a serious type of skin cancer that develops in the pigment-producing cells (melanocytes). It can arise in an existing mole or appear as a new, atypical spot. Although melanoma is less common than basal cell or squamous cell carcinoma, it is more likely to spread if not caught early, which is why prompt evaluation of any changing, irregular, or new pigmented spot is so important.

When melanoma is identified early, treatment outcomes are generally excellent. Our team performs careful skin exams and biopsies when warranted, and we coordinate closely with surgical oncology, medical oncology, and other specialists for any patient whose melanoma requires care beyond what is provided in our dermatology clinic.

Note: GentleCure (image-guided superficial radiotherapy) is not used to treat melanoma. Melanoma is managed surgically and, when needed, with additional oncology-directed therapies.

Symptoms & signs to watch for

Common signs that may suggest melanoma include:

  • A new mole, especially after age 30
  • A mole that is asymmetric, has irregular borders, multiple colors, a diameter over about 6 mm, or is evolving (the "ABCDE" signs)
  • A pigmented spot that looks different from your other moles ("ugly duckling")
  • Itching, bleeding, or non-healing of a pigmented lesion
  • A dark streak under a fingernail or toenail
  • A new or changing dark spot on the palms, soles, or mucous membranes

Treatment approach

If melanoma is suspected, your provider will perform a biopsy and review the pathology results with you. Treatment is determined by the depth (Breslow thickness), ulceration, and other features of the tumor, along with imaging or lymph node evaluation where indicated.

Treatment options your provider may discuss:

  • Skin biopsy for any suspicious pigmented lesion
  • Wide local excision for confirmed melanoma
  • Sentinel lymph node biopsy referral when indicated
  • Coordination with surgical oncology, medical oncology, and radiation oncology
  • Frequent full-body skin exams after a melanoma diagnosis
  • Family screening and sun-protection counseling

Not every option is appropriate for every patient. Your dermatology provider will recommend a treatment plan based on your individual evaluation.

When to see a dermatologist

Schedule an evaluation as soon as possible if you notice a new or changing mole, an irregular pigmented spot, a non-healing dark lesion, or any spot that looks different from your other moles. Earlier diagnosis significantly improves outcomes.

Available at our Alaska clinics

Care for melanoma is offered through Advanced Dermatology of Alaska. Specific procedure availability may vary by clinic. Please call to confirm before scheduling.

Medical disclaimer

This page is for general information only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a qualified healthcare provider with any questions you may have regarding a medical condition. If you think you may have a medical emergency, call 911 or go to the nearest emergency department.