Melanoma: What Are the Chances of Getting It Again?

A melanoma diagnosis can be scary, and even after successful treatment, many patients worry about the possibility of recurrence. Understanding the risks and factors that affect them can help you stay informed and proactive about your health.
Melanoma Recurrence: What It Means
Melanoma is a type of skin cancer that develops from pigment-producing cells called melanocytes. Even after a melanoma is removed, there’s a risk it could return in the same area (local recurrence), nearby lymph nodes (regional recurrence), or elsewhere in the body (distant recurrence). It’s important to know that recurrence risk varies depending on factors such as:
- Stage at diagnosis: Early-stage melanomas have a lower recurrence risk, while advanced stages carry higher risk.
- Tumor thickness and ulceration: Thicker or ulcerated melanomas are more likely to recur.
- Location: Certain areas, like the trunk or head and neck, may have slightly higher recurrence rates.
- Lymph node involvement: If cancer spread to lymph nodes, the risk of recurrence increases.
How Likely Is Recurrence?
While exact numbers vary by individual factors, research suggests:
- Stage 0–I melanoma: Recurrence risk is generally less than 5–10% over 5 years.
- Stage II melanoma: Recurrence risk may range from 15–30%, depending on tumor characteristics.
- Stage III melanoma: Recurrence risk can be 30–70%, as cancer has already involved nearby lymph nodes.
- Stage IV melanoma: Recurrence risk is higher, but treatment options continue to improve with immunotherapy and targeted therapies.
Even after successful treatment, survivors remain at higher risk of developing a new melanoma in a different location, especially those with fair skin, multiple moles, or a family history of melanoma.
Reducing Your Risk and Monitoring Your Skin
The good news is that early detection and preventive measures can significantly improve outcomes:
- Regular skin checks: Perform monthly self-exams and schedule routine dermatology visits to include skin cancer exams.
- Sun protection: Use broad-spectrum sunscreen, wear protective clothing, and avoid tanning beds.
- Monitor moles and spots: Watch for changes in size, shape, or color.
- Follow-up appointments: Adhere to the schedule recommended by your doctor, which may include imaging or lymph node checks for higher-stage melanomas.
Takeaway
If you’ve had melanoma, recurrence is possible but not guaranteed. The risk depends on multiple factors, including the stage and characteristics of the original tumor. By staying vigilant, protecting your skin, and attending regular follow-ups to include skin cancer exams you can catch any new or returning melanoma early—when it’s most treatable. So, set up your consultation with Lumen Dermatology. Our team brings over 70 years of combined expertise in skin health. We deliver personalized care designed to help you achieve and maintain healthy, radiant skin for years to come. Call us today at 352-830-1500 and visit our Ocala or The Villages location!






