Treatment overview for melanoma that has come back in the same area
When a melanoma comes back in the same area, surgery is the main treatment.
Most melanomas can be successfully treated by surgically removing the melanoma. However, sometimes a melanoma comes back very close to the original site. This is usually called a local recurrence or recurrent melanoma. Occasionally, melanomas come back as ‘clusters’ of melanomas. The clusters are in the same area as the original melanoma, but a bit further away. Doctors sometimes call these satellite or in-transit lesions.
Surgery can be used to remove a single recurrence or more than one recurrence. But if there are a lot of recurrences it may be difficult to remove them all with surgery.
In this situation your specialist may advise other treatments such as laser treatment, or isolated limb perfusion or infusion with chemotherapy. These treatments are carried out in specialist centres.
Occasionally, radiotherapy may be used to treat a recurrent melanoma that’s too big to remove with surgery or not suitable for other treatments