title: Diagnosis and management of high-risk and metastatic melanoma.
abstract: OBJECTIVE
  To identify treatment modalities and corresponding nursing implications for the high-risk and metastatic melanoma patient.
  
  
  METHODS
  Texbooks, research articles, and professional experience.
  
  
  CONCLUSIONS
  Recent advances in the field of melanoma include identification of prognostic factors, refinement of surgical techniques, and identification of effective adjuvant therapy. Novel therapies are currently under investigation.
  
  
  CONCLUSIONS
  Nurses play a vital role in the treatment of melanoma patients through education regarding their disease and treatment options, patient identification for clinical trials, and intensive monitoring and management for treatment-related side effects.
authors.affiliation: University of Pennsylvania School of Nursing, 420 Guardian Dr, Philadelphia, PA 19104, USA.
authors.forename: Genevieve
authors.initials: G
authors.lastname: Hollis
authors.forename: Adriana
authors.initials: A
authors.lastname: Recio
authors.forename: Lynn
authors.initials: L
authors.lastname: Schuchter
mesh_terms: D000276:Adjuvants, Immunologic / Q000627:therapeutic use; D000359:Aftercare / Q000379:methods; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D017024:Chemotherapy, Adjuvant; D016903:Drug Monitoring / Q000379:methods; D015316:Genetic Therapy / Q000379:methods; D006801:Humans; D000077190:Interferon alpha-2; D016898:Interferon-alpha / Q000627:therapeutic use; D008197:Lymph Node Excision; D008545:Melanoma / Q000175:diagnosis* / Q000628:therapy*; D009367:Neoplasm Staging / Q000379:methods; D024802:Nurse's Role; D010353:Patient Education as Topic; D011379:Prognosis; D018714:Radiotherapy, Adjuvant; D011994:Recombinant Proteins; D018570:Risk Assessment; D012307:Risk Factors; D012878:Skin Neoplasms / Q000175:diagnosis* / Q000628:therapy*
chemical_list: D000276:Adjuvants, Immunologic; D000077190:Interferon alpha-2; D016898:Interferon-alpha; D011994:Recombinant Proteins