› Forums › General Melanoma Community › are transient nodules the same as subq’s
- This topic has 4 replies, 2 voices, and was last updated 14 years, 1 month ago by KatyWI.
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- September 3, 2010 at 6:23 pm
My friend had a primary Melanoma removed 1 year ago, had node involvment, now had 2 small bb size areas removed near her original site and the surgeon reported them as transient and wants to remove to get clear margins which may invovle a skin flap for a graft.
Thanks, Rita
My friend had a primary Melanoma removed 1 year ago, had node involvment, now had 2 small bb size areas removed near her original site and the surgeon reported them as transient and wants to remove to get clear margins which may invovle a skin flap for a graft.
Thanks, Rita
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- September 3, 2010 at 8:33 pm
In-transit Metaastases: Any skin or subcutaneous metastases that is/are more than 2cm from the primary lesion but not beyond the regional nodal basin.
Satellite Lesions: Are differentiated from in-transit metastases which are skin or subcutaneous lesions within 2 cm of the primary tumor that are considered intralymphatic extensions of the primary mass.
So, in answer to your question yes a subcutaneous nodule could be a in-transit if it more than 2cm away from the original primary but still within the original nodal basin, HOWEVER because the primary had nodal involvement at the outset these new sub-q's probably would be classified as a Statellite Lesion.
The distinction is difficult and definitions are somewhat artitary and often have little bearing on management decisions.
Hope this helps.
Charlie S
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- September 3, 2010 at 8:33 pm
In-transit Metaastases: Any skin or subcutaneous metastases that is/are more than 2cm from the primary lesion but not beyond the regional nodal basin.
Satellite Lesions: Are differentiated from in-transit metastases which are skin or subcutaneous lesions within 2 cm of the primary tumor that are considered intralymphatic extensions of the primary mass.
So, in answer to your question yes a subcutaneous nodule could be a in-transit if it more than 2cm away from the original primary but still within the original nodal basin, HOWEVER because the primary had nodal involvement at the outset these new sub-q's probably would be classified as a Statellite Lesion.
The distinction is difficult and definitions are somewhat artitary and often have little bearing on management decisions.
Hope this helps.
Charlie S
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