How advances in melanoma treatment are changing the role of GPs

Biologic agents have revolutionised the treatment of metastatic melanoma, putting a new focus on sentinel node biopsy and the GP’s role in saving lives

NOT so long ago, metastatic melanoma was among the most dismal of cancers. The GP performing the initial excision, ever hopeful that their hunch would prove wrong and that the sinister spot was by some miracle still in situ, would soon be telling the patient there was bad news and little time left.

For patients with metastatic melanoma, a cancer among the most unresponsive to chemotherapy,