Improving the quality of life in melanoma: the role of the CO(2) laser.

The cutaneous manifestations of late-stage melanoma can be distressing both physically and psychologically. In our department, we are sometimes referred a subgroup of patients where, despite adequate initial treatment, the disease manifests as cutaneous metastases that can be very symptomatic. The referring physician, having deemed other modalities of treatment inappropriate, may direct such patients to us at the regional laser centre for local control. Where no treatment option exists to cure or prolong life, very often, the simplest and safest option is the best. The CO(2) laser can be used to successfully ablate the lesions and be performed on a day-case basis. A worthwhile degree of palliation can be provided. As illustrated by three cases from our department, this form of treatment can be executed as and when required and results in an improved quality of life for these patients.