Desmoplastic Spindle Cell Melanoma in 79 year old Male in Seattle area
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Desmoplastic Spindle Cell Melanoma in 79 year old Male in Seattle area

› Forums › Cutaneous Melanoma Community › Desmoplastic Spindle Cell Melanoma in 79 year old Male in Seattle area

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    • January 28, 2015 at 12:42 am
    warrior4dad
    Participant

    Hello, 

    I am here to help my dear friend of 40+ years… I work in the brain cancer field and she reached out to me for help with her dad who was dx with Spindle Cell Melanoma in December.  Her dad is 79 and otherwise healthy.  He presented with a bump on the top of his head… No lesion, no mole… a bump from the inside of his skull (very tip top of his head).  He noticed it back in May and had his dermatologist check it again in September… Nada… No biopsy until December.  

    Breslow Depth of 4.4mm, Clark Level IV, mitotic rate of 3. 

    The confusion is that the oncologist suggests Wide excision with Sentinel lymph node biopsy, but the head/neck surgeon says no to the SLNB… 

    I have been reading up on Desmoplastic  Melanoma vs Spindle Cell Melanoma. Not sure I fully grasp the differences yet… trying to play catch up here prior to his Surgery on Monday for a very wide excision and difficult fix job… Either will need a skin graft or a Free Flap (live tissue transfer from his left arm). 

    I would love to talk to anyone with experience here… Reading up on this is confusing. 

     

    Thank you!

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