Melanoma: Symptoms, Diagnosis, and Local Resources in Taiwan - Dermatology

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Melanoma is a serious type of skin cancer that arises from the pigment-producing cells known as melanocytes. It is crucial to understand the symptoms, diagnosis, and available resources for melanoma, especially if you have noticed new moles or dark spots on your skin.


Symptoms of Melanoma
Melanoma can manifest in various ways, but common signs include:
1. Changes in Existing Moles: If you have a mole that changes in size, shape, or color, it could be a warning sign.

2. New Moles: The appearance of new moles, especially after the age of 30, should be evaluated.

3. Asymmetry: One half of the mole does not match the other.

4. Irregular Borders: The edges of the mole are ragged, notched, or blurred.

5. Color Variation: The color of the mole is not uniform and may include shades of brown, black, tan, red, white, or blue.

6. Diameter: Melanomas are usually larger than 6mm (about the size of a pencil eraser), but they can be smaller when first detected.

7. Evolving: Any change in a mole's appearance, including itching, bleeding, or crusting, should be taken seriously.


Diagnosis of Melanoma
To diagnose melanoma, a dermatologist will typically perform the following:
1. Physical Examination: A thorough examination of your skin to identify any suspicious moles or lesions.

2. Dermatoscopy: A specialized tool that allows the doctor to examine moles more closely.

3. Biopsy: If a mole appears suspicious, a biopsy will be performed to remove a sample of skin for laboratory analysis. This is the definitive way to diagnose melanoma.


Local Resources in Taiwan
If you are located in Yonghe District, New Taipei City, there are several hospitals and clinics where you can get evaluated for melanoma:
1. Taipei Medical University Hospital: Known for its dermatology department, it offers comprehensive skin examinations.

2. National Taiwan University Hospital: This hospital has a reputable dermatology department and can provide advanced diagnostic services.

3. Local Dermatology Clinics: Many private clinics specialize in dermatology and can perform initial assessments and biopsies.


Cost of Examination
The cost of a skin examination can vary widely depending on the facility and the specific tests performed. Generally, a consultation with a dermatologist may range from NT$1,000 to NT$3,000. If a biopsy is needed, additional costs will apply, typically ranging from NT$2,000 to NT$5,000, depending on the complexity of the procedure and the laboratory analysis.


Conclusion
If you are concerned about the possibility of melanoma due to new moles or dark spots, it is essential to seek medical advice promptly. Early detection is key to successful treatment. You can start by scheduling an appointment with a dermatologist at one of the recommended hospitals or clinics in your area. Remember to keep track of any changes in your skin and communicate these with your healthcare provider. Your health and peace of mind are paramount, so do not hesitate to seek help.