Cura Well Plan

Cancer guide

Melanoma

By Cura Editorial Team ·

The most serious skin cancer — but early-stage melanoma has excellent outcomes, and BRAF and immunotherapy have transformed advanced disease.

What to know first

  • Use the ABCDE rule: Asymmetry, Border, Color, Diameter, Evolving.
  • BRAF mutation status determines eligibility for targeted therapy.
  • Sentinel lymph node biopsy is standard for tumors thicker than 0.8 mm.

When to see a doctor

  • A new mole, or a mole that's changing in size, shape, or color
  • A spot that itches, bleeds, or won't heal
  • A dark streak under a fingernail or toenail with no injury

What's new in melanoma cancer treatment (2026)

Recent approvals and trial results — and the questions to ask your oncologist about whether any of it applies to you. Not every option fits every person.

Engineered virus therapy for resistant melanoma

The FDA gave accelerated approval to Tudriqev, a modified virus injected into tumors, with nivolumab for melanoma that stopped responding to PD-1 immunotherapy. About 1 in 4 responded in the IGNYTE trial.

May apply to: Advanced melanoma that progressed on PD-1 immunotherapy

Ask your oncologist:

  • If immunotherapy stops working, is Tudriqev an option?
  • Are my tumors reachable for injection?

Source: FDA

Reviewed September 25, 2026.

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Frequently asked questions

What are the early warning signs of melanoma cancer?

The signs that most often lead to a melanoma cancer diagnosis are: a new mole, or a mole that's changing in size, shape, or color; a spot that itches, bleeds, or won't heal; a dark streak under a fingernail or toenail with no injury. Any of these lasting more than a couple of weeks is worth a same-week appointment, even though most turn out to be something else.

When should I see a doctor about possible melanoma cancer?

See a doctor promptly if a symptom is new, persistent, or getting worse rather than better. Describe when it started, how often it happens, and what makes it better or worse — that detail is what decides whether you get imaging or testing at the first visit.

What should I know first about melanoma cancer?

The most serious skin cancer — but early-stage melanoma has excellent outcomes, and BRAF and immunotherapy have transformed advanced disease. Use the ABCDE rule: Asymmetry, Border, Color, Diameter, Evolving. BRAF mutation status determines eligibility for targeted therapy. Sentinel lymph node biopsy is standard for tumors thicker than 0.8 mm.

What questions should I ask after a melanoma cancer diagnosis?

Ask what the exact diagnosis is and how it is staged, what the treatment options are and in what order they would happen, what the goal of treatment is, which side effects to expect, and whether a second opinion or clinical trial makes sense for your situation.

Related guides

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Before the first treatment decision

If a start date is on the calendar, or you feel lost between diagnosis and the first infusion, build a first-visit brief on the page: what's known, what's missing, what to ask. Homework, not a treatment plan.

Cura Brief is educational. It is not medical advice, a diagnosis, or a treatment plan. Confirm everything with your oncology team. If this is an emergency, call emergency services. Email is not an emergency line.

Prefer email? hello@curawellplan.com

After your biopsy or test

Waiting for results is its own kind of hard. Cura has a plain-language guide to what the wait actually means — and what to do while you wait.

How long do biopsy results take?