What should you know about cervical melanoma?

Melanoma is a cancer of pigment-producing cells. When it begins in the cervix, symptoms can include unusual vaginal bleeding, bleeding after sex, watery or foul-smelling discharge, or pelvic discomfort, although some people have no early symptoms. These symptoms can also have non-cancerous causes, so they do not establish the diagnosis by themselves.

A biopsy examines cervical tissue. Specialists then assess the tumour's local extent and whether lymph nodes or distant organs are involved. This information guides treatment decisions and may include imaging and a Sentinel Lymph Node Biopsy when clinically appropriate.

Arrange prompt review with a gynaecologist or oncology team if a cervical lesion or abnormal biopsy has been identified. Bring previous reports and tell the team about bleeding, discharge, pain, pregnancy plans, and medicines that affect bleeding. Treatment may involve Surgical Excision or broader Skin Cancer Surgery principles adapted to the cervix, with Tumour Removal Surgery, medicines such as Immunotherapy, or other care depending on staging.

Ask how fertility, sexual health, and emotional support will be addressed. Keep scheduled Follow-Up After Cancer Treatment appointments because examinations and scans can detect changes that need attention.

Seek urgent help for heavy vaginal bleeding, fainting, severe pelvic pain, fever with feeling very unwell, or inability to keep fluids down. New severe headache, confusion, weakness, seizures, or vision changes also need urgent assessment, particularly during cancer evaluation or treatment.

Ask what the biopsy shows, whether the melanoma started in the cervix or represents spread from another site, what staging tests are needed, and which specialists will coordinate care. Ask about surgery, Immunotherapy, fertility options, side effects, and the follow-up schedule.