Are you having back pain with any of the following?

  • Severe pain, weakness or tingling in your leg(s).
  • Difficulty stopping urination or loss of control of bladder or bowels.
  • Unexplained fever, nausea or vomiting.
  • A history of cancer or unexplained weight loss.

We understand that you are experiencing one or more of the health issues that might be impacting your back pain.

We recommend that you discuss these health issues with your doctor before proceeding with this program.

Once you are cleared by your doctor to do this program, we hope it helps you find relief from your back pain.

Cancer Care

Fremont and San Leandro Medical Centers


Melanoma is the most serious type of skin cancer. Early diagnosis is the key to successful treatment. When removed before it has spread, the 5-year survival rate is 95 to 99 percent. 

Treatment depends on the type and severity of the cancer. The most common treatment options are:

  • Surgery
  • Radiation therapy
  • Immunotherapy
  • Targeted Therapy
  • Chemotherapy, sometimes.

You may have one or a combination of these treatments.

We know a cancer diagnosis is overwhelming. We’re here to provide you with the best treatment available.

Additional References:


Surgery is the most common treatment for melanoma. The type of surgery depends on the location and spread of the cancer. 

Surgery to remove skin may include: 

  • Wide excision. We remove the tumor and a defined area around the tumor. This procedure alone may completely remove the tumor.
  • Sentinel lymph-node biopsy. This procedure helps us learn if the cancer has spread. We remove a nearby lymph node (sentinel lymph node) to examine it for signs of cancer.  
  • Skin graft. We may remove skin tissue from another part of your body to cover the skin area, if a large area of skin must be removed. 

Surgery side effects

The effects of surgery depend on the location and amount of tissue that’s removed. 

Generally, side effects may include: 

  • Scarring 
  • Pain
  • Swelling
  • Risk of infection

You’ll likely have some surgery side effects, but we can help you manage them. It’s important that you receive follow-up care with your dermatologist.

Additional References:

Radiation Therapy

Radiation therapy uses high-energy beams to kill tumor cells. We may use it to:

  • Treat advanced melanoma, especially in the head and neck. 
  • Manage cancer pain and other symptoms.

The most common type is external-beam radiation therapy. A machine delivers radiation directly to the tumor and nearby tissue. You may have radiation 5 days a week for up to 7 weeks. 

Another type is internal radiation therapy (brachytherapy). We place radioactive seeds inside or close to the tumor. 

Side effects

Common side effects are:

  • Fatigue
  • Red, inflamed, tender skin, with possible blistering
  • Scarring of the skin

If the head and neck are treated, additional side effects are:

  • Mouth sores
  • Loss of taste or appetite
  • Jaw stiffness
  • Dry mouth
  • Tooth decay 

Let us know if you develop side effects so we can help you manage them. 


Immunotherapy is a group of medicines that help activate the body’s own immune system to find and destroy cancer cells. We may use immunotherapy to treat melanoma.

Common side effects are: 

  • Fatigue
  • Skin rash
  • Itching
  • Diarrhea
  • Shortness of breath or cough

Your doctor may talk with you about potentially more serious side effects.

Additional References:

Targeted Therapy

Targeted therapy is a group of medicines that block genetic changes (mutations) that play a role in cancer growth. 

Possible side effects are:

  • Fatigue 
  • Rash
  • Diarrhea 
  • High blood sugar
  • Fever
  • Eye inflammation
  • Depression


Chemotherapy is a group of medicines used to directly damage cancer cells. The type of chemotherapy treatment depends upon the type and stage of melanoma. 

Side effects

Chemotherapy targets cells that grow and multiply rapidly, such as cancer cells. It can also affect normal cells and cause side effects, such as:  

  • Hair loss 
  • Nausea and vomiting
  • Diarrhea
  • Infection (such as pneumonia or urinary tract infection)
  • Loss of appetite
  • Low red blood cells (anemia)
  • Low white blood cells (weakened immune system)
  • Numbness in feet and hands (neuropathy)

Be sure to let us know if you develop side effects. We can help you manage them.  

Additional References:

Clinical trials

We’re always looking for new and better ways to treat melanoma. Clinical trials are research studies that test new treatments and procedures. We can talk about available clinical trials that may be right for you.

Additional References:

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If you have an emergency medical condition, call 911 or go to the nearest hospital. An emergency medical condition is any of the following: (1) a medical condition that manifests itself by acute symptoms of sufficient severity (including severe pain) such that you could reasonably expect the absence of immediate medical attention to result in serious jeopardy to your health or body functions or organs; (2) active labor when there isn't enough time for safe transfer to a Plan hospital (or designated hospital) before delivery, or if transfer poses a threat to your (or your unborn child's) health and safety, or (3) a mental disorder that manifests itself by acute symptoms of sufficient severity such that either you are an immediate danger to yourself or others, or you are not immediately able to provide for, or use, food, shelter, or clothing, due to the mental disorder. This information is not intended to diagnose health problems or to take the place of specific medical advice or care you receive from your physician or other health care professional. If you have persistent health problems, or if you have additional questions, please consult with your doctor. If you have questions or need more information about your medication, please speak to your pharmacist. Kaiser Permanente does not endorse the medications or products mentioned. Any trade names listed are for easy identification only.