Breslow thickness for melanoma skin cancer

The Breslow thickness describes how deep a melanoma has grown into the layers of skin.

Doctors need to know the depth of a melanoma to help stage it. The stage tells you the size of a cancer and if it has spread. Knowing this helps your doctors decide what treatment you need.

What is the Breslow thickness of a melanoma skin cancer?

The Breslow thickness is a measurement of the depth of the melanoma. It is measured from the surface of your skin to the deepest point of the tumour. 

Doctors use the Breslow thickness to work out the Tumour (T) stage in the TNM staging system for melanoma skin cancer.

How does your doctor measure the Breslow thickness?

If your doctor thinks you have a melanoma skin cancer, they remove it to check. This is called an excision biopsy. 

A specialist doctor called a pathologist looks at the biopsy in the laboratory to see if it is a melanoma. If it is, they use a special small ruler and a microscope to measure the Breslow thickness. This is measured in millimetres (mm).

  • AJCC Cancer Staging Manual (8th edition)
    American Joint Committee on Cancer
    Springer, 2017

  • Melanoma: Assessment and Management
    National Institute for Health and Care Excellence (NICE), 2015 (updated 2022)

  • SIGN 146: Cutaneous melanoma - A national clinical guideline
    Health Improvement Scotland, 2017 (updated 2023)

  • Best Practice Melanoma
    BMJ Publishing Group LTD
    Last accessed December 2024

  • Cancer: Principles and Practice of Oncology (12th edition)
    VT DeVita, TS Lawrence, SA Rosenberg
    Wolters Kluwer, 2022

Last reviewed: 
02 Jan 2025
Next review due: 
02 Jan 2028

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