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Diagram showing the most common places for melanoma to spread to. Date: 30 July 2014 (released by CRUK) Source: Original email from CRUK: Author: Cancer Research UK: Permission (Reusing this file) This image has been released as part of an open knowledge project by Cancer Research UK. If re-used, attribute to Cancer Research UK / Wikimedia Commons
A diagram showing the most common sites for melanoma to spread 5-year relative survival by stage at diagnosis for melanoma of the skin in the United States as of 2014. Factors that affect prognosis include: tumor thickness in millimeters (Breslow's depth), depth related to skin structures (Clark level), type of melanoma, presence of ulceration,
The included cancer types are the ones causing most death as per data from the US in 2008. [1] Lung cancer, mainly to adrenal glands, brain, and bone [2] Breast cancer, mainly to bone, liver, lung and brain. [3] Colon cancer, mainly to liver. [4] Pancreatic cancer, mainly to liver and lungs. [5] Melanoma, mainly to brain [6]
The most common site of metastasis for uveal melanoma is the liver; [21] the liver is the first site of metastasis for 80%-90% of ocular melanoma patients. [22] Other common sites of metastasis include the lung, bones, and just beneath the skin (subcutaneous).
Lymphatic spread is the most common route of initial metastasis for carcinomas. [8] In contrast, it is uncommon for a sarcoma to metastasize via this route. Localized spread to regional lymph nodes near the primary tumor is not normally counted as a metastasis, although this is a sign of a worse outcome.
N0: no regional lymph nodes metastasis; N1: regional lymph node metastasis present; at some sites, tumor spread to closest or small number of regional lymph nodes; N2: tumor spread to an extent between N1 and N3 (N2 is not used at all sites) N3: tumor spread to more distant or numerous regional lymph nodes (N3 is not used at all sites)
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