Chemotherapy is not as effective in treating advanced melanoma as it is in treating some other types of cancer. However, it may slow the growth of the cancer and help to relieve some of the symptoms.
Chemotherapy uses drugs to kill cancer cells. The drugs enter the bloodstream and travel through the body in order to kill cancer cells. The side effects from the chemotherapy come from the fact that it destroys normal cells as well as the cancer cells.
Chemotherapy may be given either alone or along with surgery, immunotherapy medicines, or radiation therapy. Chemotherapy is usually given by vein, but some forms can be given by mouth as well. Your medical oncologist will tell you how many cycles or courses of chemotherapy are best for you.
The most common agents used for treating melanoma are dacarbazine, temozolomide, cisplatin, and carmustine. Other agents may also be used. They may be delivered systemically or to an isolated area by perfusion techniques that introduce the drug into the main blood vessels supplying the area (usually a limb) that contains the tumor.
The side effects and amount of time required in the doctor’s office depend on the type of chemotherapy you receive, as well as how many cycles you receive and how often. The most common chemotherapy-associated side effects are:
Melanoma. EBSCO DynaMed website. Available at: https://dynamed.ebscohost.com/about/about-us . Updated April 3, 2013. Accessed April 9, 2013.
Melanoma skin cancer. American Cancer Society website. Available at: http://www.cancer.org/acs/groups/cid/documents/webcontent/003120-pdf.pdf . Updated January 17, 2013. Accessed April 9, 2013.
Melanoma treatment option overview. National Cancer Institute website. Available at: http://cancer.gov/cancertopics/pdq/treatment/melanoma/HealthProfessional/page4 . Updated April 1, 2013. Accessed April 9, 2013.
Melanoma treatment-chemotherapy. Melanoma Research Foundation website. Available at: http://www.melanoma.org/learn-more/melanoma-101/melanoma-treatment-chemotherapy . Accessed April 9, 2013.
Last reviewed June 2013 by Mohei Abouzied, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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