Melanoma is the most serious form of skin cancer, arising when melanocytes, the pigment-producing cells in the skin, begin to grow uncontrollably. It often presents as a new or evolving spot, or changes within an existing mole. While melanoma can be life-threatening if it spreads, early detection and prompt treatment are associated with excellent survival outcomes.

Dr. Zitelli offers comprehensive melanoma care to patients throughout Cincinnati, with expertise in early diagnosis, meticulous surgical excision, and long-term surveillance to support the best possible outcomes for those affected by this potentially serious, but treatable condition.

Confidence in Early Detection: Recognizing the Signs of Melanoma

Early detection of melanoma can be lifesaving, highlighting the importance of recognizing the subtle warning signs that differentiate concerning lesions from benign moles and other common skin changes.

The ABCDE Rule

The ABCDE rule is a helpful guide for identifying suspicious moles that may indicate melanoma:

  • Asymmetry – one half of the lesion doesn’t match the other
  • Border – edges are irregular, ragged, or blurred
  • Color – uneven shading or multiple colors within the same lesion
  • Diameter – larger than 6 mm (about the size of a pencil eraser)
  • Evolution – any change in size, shape, color, or symptoms over time

New Spots and Changing Moles

Any new, changing pigmented lesion, or transformations in the size, shape, color, or texture of an existing mole, should be evaluated by a dermatologist.

High-Risk Mole Characteristics

Atypical or dysplastic moles are characterized by irregular borders, variegated coloration, and larger size and may indicate an increased risk of melanoma, particularly when multiple such moles are present.

Unusual Bleeding or Itching

Moles that bleed, become tender, or develop persistent itching often signal concerning changes requiring immediate dermatologic assessment

Professional Melanoma Treatment and Surgical Removal

Melanoma management prioritizes complete surgical excision with appropriate clear margins, employing advanced techniques to preserve healthy tissue and optimize cosmetic outcomes.

Excisional Surgery

This reliable treatment involves surgical excision of the melanoma, along with a defined margin of healthy surrounding skin, to ensure complete removal of cancerous cells.

Sentinel Lymph Node Biopsy

Dr. Zitelli collaborates with top oncologic surgeons in Cincinnati, referring patients for advanced lymph node evaluation when appropriate. This assessment helps determine cancer staging and informs any necessary additional treatment.

Mohs

For melanomas in sensitive areas such as the face, Dr. Zitelli collaborates with leading Mohs surgeons in Cincinnati who utilize specialized microsurgical techniques to achieve precise tumor removal while preserving the maximum amount of healthy tissue.

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Early Melanoma Detection: The Role of Regular Skin Checks

Early detection is important to achieve favorable melanoma outcomes, highlighting the importance of regular professional skin examinations and consistent self-monitoring, particularly for individuals at higher risk. At Queen City Dermatology, Dr. Zitelli emphasizes the value of an annual comprehensive skin examination. By becoming familiar with one’s own moles and skin patterns, patients are better equipped to recognize concerning changes, while advanced in-office diagnostic tools such as dermoscopy enable the detection of subtle abnormalities that may not be visible to the naked eye.

Understanding Melanoma Risk Factors and Prevention

Risk factors may include fair skin, family history of melanoma, numerous moles (especially atypical ones), history of severe sunburns, and previous skin cancer. While genetic predisposition cannot be changed, proactive measures, such as applying broad-spectrum sunscreen, wearing sun-protective clothing, and avoiding tanning beds, play a critical role in reducing melanoma risk.

Frequently Asked Questions About Melanoma Treatment

Melanoma requires prompt treatment following diagnosis due to its potential for rapid growth and metastasis compared to other skin cancers.

Yes, melanomas can arise from pre-existing moles. This underscoring the importance of lifelong regular monitoring for any changes in your moles.

reatment strategies are determined by the thickness and stage of the melanoma. Early, thin melanomas may be managed effectively with surgery alone, whereas more advanced or thicker cancers often need additional surgery or therapy.

Melanoma survivors generally require professional skin examinations every 3 to 6 months during the initial follow-up period, transitioning to annual evaluations thereafter, due to increased risk of developing subsequent melanomas.

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Board-Certified Dermatologist Serving Cincinnati, Ohio

Dr. Kristine Zitelli is a board-certified dermatologist serving the Cincinnati area, known for her expertise in treating a wide range of skin conditions. She completed her medical degree at Wright State University and dermatology residency at the University of Cincinnati, with additional advanced training at the UCSF Psoriasis and Skin Treatment Center. Her clinical focus includes thorough skin examinations, psoriasis, eczema, complex medical dermatology, surgical dermatology and cosmetic treatments using the latest technologies.

Dr. Zitelli has been named a “Top Doctor” in Cincinnati every year since 2016 as well as Cincinnati’s Top Dermatologist in 2020. She remains dedicated to educating the community about skin health and sun safety. Combining academic excellence, clinical research, and a compassionate approach, Dr. Zitelli delivers personalized, evidence-based care to every patient.

About Dr. Kristine Zitelli

Advanced Melanoma Care with Life-Saving Impact in Cincinnati

Don’t delay when you notice concerning moles or changes in your skin. Dr. Zitelli provides Cincinnati patients with expert melanoma detection and treatment, offering comprehensive care focused on achieving the best possible outcomes. Early detection can save lives, and timely treatment greatly improves the chances of a full recovery. Schedule your skin examination today to protect your health and gain peace of mind about your skin.

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Cinncinati, OH 45249

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