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Table 1 Stages of melanoma as per American Cancer Society

From: Advancements in nanoparticle-based treatment approaches for skin cancer therapy

Melanoma stage

Description

0

Tumor invades the skin surface (epidermis) with slow mitotic rate. Not spread to nearby lymph or distant tissues/organs. This stage is also termed “melanoma in situ.”

I

Horizontal expansion of tumor on skin surface. Not more than 2 mm in thickness and might or might not be ulcerated. Not spread to nearby lymph or distant tissues/organs

II

Vertical expansion of tumor, thickness ranging from minimum 1 mm to more than 4 mm. Ulcerated or non-ulcerated. Not spread to nearby lymph or distant tissues/organs

III A

Tumor with not more than 2 mm thickness. Ulcerated or non-ulcerated. Cancer has spread to 1–3 nearby lymph nodes (can only be seen under microscope). Not spread to distant tissues/organs

III B

Tumor with not more than 4 mm thickness. Ulcerated or non-ulcerated. Cancer has spread to 1 nearby lymph node and small areas of nearby skin. Not spread to distant tissues/organs

III C

Tumor with not more than 4 mm thickness. Ulcerated or non-ulcerated. Cancer has spread to small areas of nearby skin and 4 or more nearby lymph nodes. Not spread to distant tissues/organs

III D

Tumor with more than 4 mm thickness and ulcerated. Cancer has spread to small areas of nearby skin and 4 or more nearby lymph nodes. Not spread to distant tissues/organs

IV

Tumor can have any thickness. Cancer has spread to nearby lymph nodes and distant organs such as brain, liver, lungs, bone, or kidney