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      Nodular melanoma (NM) is the most aggressive form of melanoma. It tends to grow more rapidly in thickness (vertically penetrate the skin) than in diameter compared to other melanoma subtypes. Instead of arising from a pre-existing mole, it may appear in a spot where a lesion did not previously exist. Since NM tends to grow in depth more quickly than it does in width, and can occur in a place that did not have a previous lesion, the prognosis is often worse because it takes longer for a person to be aware of the changes. NM is most often darkly pigmented; however, some NM lesions can be light brown, multicolored or even colorless (non-pigmented). A light-colored or non-pigmented NM lesion may escape detection because the appearance is not alarming, however an ulcerated and/or bleeding lesion is common.: 696  Polypoid melanoma is a virulent variant of nodular melanoma.: 696 
      The microscopic hallmarks are:

      Dome-shaped at low power
      Epidermis thin or normal
      Dermal nodule of melanocytes with a 'pushing' growth pattern
      No "radial growth phase"


      Treatment


      Therapies for metastatic melanoma include the biologic immunotherapy agents ipilimumab, pembrolizumab, and nivolumab; BRAF inhibitors, such as vemurafenib and dabrafenib; and a MEK inhibitor trametinib.


      Prognosis


      Important prognosis factors for nodular melanoma include:

      Thickness
      Ulceration
      Sentinel lymph node (SLN) status


      See also


      Melanoma
      Polypoid melanoma


      References




      External links

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    Nodular Melanoma: Blood Blister, Symptoms, Causes & Stages

    Jun 21, 2022 · Nodular melanoma is skin cancer caused by overexposure to ultraviolet light. It’s firm and may look like a blood blister. There are four stages of nodular melanoma.

    Nodular Melanoma: Symptoms of This Aggressive Cancer

    Jul 12, 2023 · Nodular melanoma is a fast-growing and aggressive form of skin cancer. It typically presents as a lump or lesion on the skin that is firm and may or may not be colored. It may not be diagnosed until is it in the advanced stages due to the speed it can grow.

    Nodular melanoma: 5 questions, answered - MD Anderson …

    Oct 3, 2022 · Nodular melanoma is a type of skin cancer that can mimic benign conditions, including blood blisters and acne. So, how do you know when to see a doctor? We asked dermatologist Kelly Nelson, M.D.

    What Is Nodular Melanoma? - WebMD

    Sep 2, 2021 · Nodular melanoma is a type of skin cancer. It’s a dangerous form of melanoma that grows quickly. Only about 15% of all melanomas are nodular. But it causes nearly half of melanoma-related...

    Nodular Melanoma Symptoms, Treatment & Prognosis

    Feb 24, 2023 · Nodular melanomas are considered aggressive forms of skin cancer. Learn their symptoms, what they look like and their growth rate, treatment and prognosis.

    Nodular melanoma - DermNet

    Nodular melanoma is an invasive form of melanoma. Melanoma is a potentially dangerous skin cancer that arises from pigment cells (melanocytes). According to New Zealand Cancer Registry data, 2256 invasive melanomas were diagnosed in 2008, and at least 15% were reported as nodular melanoma.

    Nodular Melanoma: Definition, Symptoms, Pictures, More - Healthline

    Sep 19, 2023 · Nodular melanoma is an aggressive form of melanoma. Knowing what it looks like can help you get the treatment you need.

    Nodular Melanoma - Memorial Sloan Kettering Cancer Center

    Learn about the warning signs of and treatment options for nodular melanoma, the most aggressive form of skin melanoma.

    Nodular melanoma - Wikipedia

    Nodular melanoma (NM) is the most aggressive form of melanoma. [1] It tends to grow more rapidly in thickness (vertically penetrate the skin) than in diameter compared to other melanoma subtypes. [ 2 ]

    Nodular Melanoma: Images, Symptoms & Survival Rates - MoleMap

    Apr 12, 2024 · Nodular melanoma is one of the four main types of melanoma skin cancer. It is the second most widespread type of melanoma—accounting for around 10-15% of all new melanoma skin cancers. In this post you’ll find nodular melanoma images to help spot the warning signs. Plus, find out about the different stages and survival rates for nodular melanoma.