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are transient nodules the same as subq’s

Forums General Melanoma Community are transient nodules the same as subq’s

  • Post
    renter9
    Participant

      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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        Charlie S
        Participant

          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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          Charlie S
          Participant

            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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            KatyWI
            Participant

              Probably your doctor said "in transit," not "transient."  (I wish this f-ing disease was transient!)  Charlie is correct; you can have in transit mets that are subcutaneous.

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              KatyWI
              Participant

                Probably your doctor said "in transit," not "transient."  (I wish this f-ing disease was transient!)  Charlie is correct; you can have in transit mets that are subcutaneous.

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