Help design a melanoma surgery study

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We are planning a research study looking at how best to treat people with melanoma, a type of skin cancer, that has spread to the lymph nodes. Many patients now receive immunotherapy (drug treatment) before surgery. This treatment can work very well, and in some people it removes most or all of the cancer from the lymph nodes.

However, current standard treatment often still involves a larger operation to remove all the lymph nodes in that area. While effective, this surgery can sometimes lead to long-term side effects, such as swelling (lymphoedema), pain and reduced movement, which can impact daily life.

In this study, we want to find out whether some patients could safely have a smaller operation, where only one key lymph node is removed instead of removing all lymph nodes. The aim is to reduce side effects and improve quality of life, without affecting cancer outcomes.

We want to make sure this study is designed in a way that is clear, relevant, and acceptable to patients.

We are inviting patients, carers, and members of the public to share their views to help shape this research. In particular, we would like your thoughts on:

  • Whether a smaller operation would feel acceptable or concerning
  • What information you would need to feel comfortable with this approach
  • What outcomes matter most to you after treatment

Please add them in the discussion forum below. Your input will help us design a study that focuses on what matters most to patients and improves how melanoma treatment is delivered in the NHS.

We are planning a research study looking at how best to treat people with melanoma, a type of skin cancer, that has spread to the lymph nodes. Many patients now receive immunotherapy (drug treatment) before surgery. This treatment can work very well, and in some people it removes most or all of the cancer from the lymph nodes.

However, current standard treatment often still involves a larger operation to remove all the lymph nodes in that area. While effective, this surgery can sometimes lead to long-term side effects, such as swelling (lymphoedema), pain and reduced movement, which can impact daily life.

In this study, we want to find out whether some patients could safely have a smaller operation, where only one key lymph node is removed instead of removing all lymph nodes. The aim is to reduce side effects and improve quality of life, without affecting cancer outcomes.

We want to make sure this study is designed in a way that is clear, relevant, and acceptable to patients.

We are inviting patients, carers, and members of the public to share their views to help shape this research. In particular, we would like your thoughts on:

  • Whether a smaller operation would feel acceptable or concerning
  • What information you would need to feel comfortable with this approach
  • What outcomes matter most to you after treatment

Please add them in the discussion forum below. Your input will help us design a study that focuses on what matters most to patients and improves how melanoma treatment is delivered in the NHS.

Discussions: All (1) Open (1)
  • What do think of the option of a smaller operation as described above?

    6 days ago
    Share What do think of the option of a smaller operation as described above? on Facebook Share What do think of the option of a smaller operation as described above? on X (formerly Twitter) Share What do think of the option of a smaller operation as described above? on Linkedin Email What do think of the option of a smaller operation as described above? link

    You need to be signed in to add your comment.

    • What information you would need to feel comfortable with this approach?
    • What outcomes matter most to you after treatment?
    • What information you would need to feel comfortable with this approach?
    • What outcomes matter most to you after treatment?

    You need to be signed in to add your comment.

    You need to be signed in to add your comment.

Page last updated: 10 Sep 2026, 05:54 PM