Melanoma usually has remarkably few debilitating effects on the system. Patients feel and look good through most of their disease.
Unless the tumor is in a place where it can cause symptoms because of its size—such as pressing on a nerve and causing pain, or causing headaches if it is in the brain—melanoma is not generally associated with severe symptoms. This is in sharp contrast to cancers such as those of the head and neck or the bowel, where patients may lose their appetite and become thin fairly early in the course of their disease. Patients should do everything they feel like doing, without fear of adversely affecting their disease. Modern treatments are designed to permit and encourage a full and active life.
• Low-or non-impact aerobic exercise, such as swimming or walking, can be pursued by all patients who feel
good. More active exertion is often possible so long as there are no bad results, such as damage to the bones.
• Good, balanced nutrition is helpful, which means whole grains, lean meats and complex carbohydrates. Fad
diets should be avoided, as they often lack essential nutrients. Many patients who are doing well are convinced
that their use of high doses of some vitamin or extract is causing their response, although most are also
receiving conventional treatments such as immunotherapy or chemotherapy .
• As in any cancer, psychological support is essential to a good outcome. An upbeat attitude is an important
element. Support groups emphasizing psychological adjustment and channeling of mental strength into
overcoming the tumor, often with visualization techniques, are increasing in popularity and perform a valuable
function. See the list of support groups in the "Resources" section. While no one can yet explain it, there is
