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Diagnosed Today. Terrified.

Forums General Melanoma Community Diagnosed Today. Terrified.

  • Post
    Gordknight
    Participant

      Let me give you a bit of my background.  Also been a hypochondriac.  Well not always, but for at least the past 8 years or so.  Always worried that everything is cancer or something equally as bad.  Well today my worst fears came true.  After a week of waiting in anguish for my biopsy results to come in for two moles I had removed I got the call today.  One of them is Melanoma.  My soul dropped into my shoes and I instantly began to think about my wife and leaving her alone on this earth.  

      Im a31 almost 32 year old caucasian male.  I requested my pathology report from my dermatologist.  I am meeting with a plastic surgeon on the 3rd of November since the melanoma is located on my neck.  Here is my pathology.  I dont know how accurate it really is becase he did a shave biopsy.  

       

      PROCEDURE: BIOPSY

      SPECIMEN LATERALITY: Left Neck

      Breslow Thickness: Favor 0.22 MM

      Clark Level (not overall tumor stage): Favor II

      Ulceration/max width: Not Identified

      Mitotic figures: <1 per MM squared

      REgression: not identified

      Lymphatic Invasion: not identified 

      Perineural invasion: not identified

      Microscopic Satellitosis: not identified

      Tumor-infiltrating lymphocytes: Non-Brisk

      Associsated Melanocytic Nevus: Absent

      Predominant Cytology: Epitheloid

      Lateral Margins: non involved (1mm)

      Deep Margins: Not involved (0.5 mm)

      TNM Tumor Stage: Favor T1a NX MX

       

      I am even more terrified because the other day my wife accidently knicked the scab that had formed after the biopsy and caused it to bleed.  Could this make the cancer cells spread into my blood stream?  I am so scared.  Can anyone help me?

    Viewing 2 reply threads
    • Replies
        Janner
        Participant

          Don't start digging your grave yet, this is a VERY EARLY melanoma.  Very high survival rate.  Stage IA.  All your margins were clear, so surgery just to get extra margins is the only thing left to do.  Knocking the scab off is not going to change anything, the entire lesion was removed with the biopsy.  Besides, that's really not how cancer cells spread.  There is absolutely NOTHING high risk about this lesion – all factors are just what you'd like to see for the lowest risk possible.  Stage IA has an extremely high survival rate — maybe 98%+.  (You can't look at old charts for survival for stage IA because the staging changed in 2010 and it became a much more exclusive club).  BTW, the shave biopsy is perfectly fine here.  Shaves are only a problem when they bisect a lesion because you lose staging information.  That didn't happen here so the biopsy type isn't an issue.

          It's hard to say "relax" to a person like you, but that's what you have to do.  Get the WLE (wide local excision) surgery done and then move on.  Practice sun safety.  Watch for other moles that change.  Live life!!!!  Despite this diagnosis, chances are still very good you will have a long life — at least you won't be dying from this type of cancer anyway!

            Gordknight
            Participant
              Thanks. Your message is reassuring. Now I’m worried that every mole on my body is a malenoma lol. What is the likelyhood that I have more than one melanoma at a time?
              ed williams
              Participant

                Janner gave you good advice Gord!!!! When it comes to following other moles, the best advice I have heard on the forum is to take some photo's today so you can compare in the future. I have probably 100 on my body from spending most of my youth outside in the summer's at a cottage back in the 60's and early 70's. Janner also gave you good advice about being sun safe and no tanning beds ever!!!!!. A good skin specialist would be a good idea and they will want to see you every 3 to 6 months at first. Wishing you the best!!!!! ED

                ed williams
                Participant

                  Janner gave you good advice Gord!!!! When it comes to following other moles, the best advice I have heard on the forum is to take some photo's today so you can compare in the future. I have probably 100 on my body from spending most of my youth outside in the summer's at a cottage back in the 60's and early 70's. Janner also gave you good advice about being sun safe and no tanning beds ever!!!!!. A good skin specialist would be a good idea and they will want to see you every 3 to 6 months at first. Wishing you the best!!!!! ED

                  ed williams
                  Participant

                    Janner gave you good advice Gord!!!! When it comes to following other moles, the best advice I have heard on the forum is to take some photo's today so you can compare in the future. I have probably 100 on my body from spending most of my youth outside in the summer's at a cottage back in the 60's and early 70's. Janner also gave you good advice about being sun safe and no tanning beds ever!!!!!. A good skin specialist would be a good idea and they will want to see you every 3 to 6 months at first. Wishing you the best!!!!! ED

                    Janner
                    Participant

                      < 10% of the melanoma population ever have more than one melanoma.

                      Take pictures using a ruler and good lighting you can duplicate.  Monthly, compare moles to the pics in that same lighting.  Lighting is crucial because it causes you to think there are changes when there aren't any.  Any mole that changes should be shown to your derm.  Changing moles do NOT indicate melanoma, they indicate a higher risk for melanoma.  I've had 3 melanomas (I have a genetic defect for melanoma) and I ONLY remove moles that change.  I have a set of baseline pictures and I use that for comparisons.   Again, you are really looking for the ugly duckling — if you have several moles that look similar, then they aren't ugly ducklings and normal for you. 

                      Janner
                      Participant

                        < 10% of the melanoma population ever have more than one melanoma.

                        Take pictures using a ruler and good lighting you can duplicate.  Monthly, compare moles to the pics in that same lighting.  Lighting is crucial because it causes you to think there are changes when there aren't any.  Any mole that changes should be shown to your derm.  Changing moles do NOT indicate melanoma, they indicate a higher risk for melanoma.  I've had 3 melanomas (I have a genetic defect for melanoma) and I ONLY remove moles that change.  I have a set of baseline pictures and I use that for comparisons.   Again, you are really looking for the ugly duckling — if you have several moles that look similar, then they aren't ugly ducklings and normal for you. 

                        Gordknight
                        Participant

                          Thanks for the advice!  My Derm already told me after my surgery he wants to see me every 6 months from there on out to do a full body check.  He seems great.  The second I got my diagnosis all I could do was think about two moles on the other side of my neck that I removed myself with apple cider vinegar and now I am worred that I burned away moles that were possibly melanoma and its still there under my skin.  I have another appointment 2 days after my consultation with the surgeon to get a full body check just for peace of mind.  Ill have him look at those spots.  

                          I have a feeling this cancer is from when I was a teenager and would skateboard all day in the desert sun every day with no sun screen.  Damn me.  I still cant shake this feeling that Im not gonna be around much longer.. am I rediculous for thinking that this is the end?  

                          Thanks everyone for your replies and your support.  It means a lot.

                          Gordknight
                          Participant

                            Thanks for the advice!  My Derm already told me after my surgery he wants to see me every 6 months from there on out to do a full body check.  He seems great.  The second I got my diagnosis all I could do was think about two moles on the other side of my neck that I removed myself with apple cider vinegar and now I am worred that I burned away moles that were possibly melanoma and its still there under my skin.  I have another appointment 2 days after my consultation with the surgeon to get a full body check just for peace of mind.  Ill have him look at those spots.  

                            I have a feeling this cancer is from when I was a teenager and would skateboard all day in the desert sun every day with no sun screen.  Damn me.  I still cant shake this feeling that Im not gonna be around much longer.. am I rediculous for thinking that this is the end?  

                            Thanks everyone for your replies and your support.  It means a lot.

                            JustMeInCA
                            Participant

                              You are just a bit ridiculous, but I say that as semi-reformed hypochondriac who has killed herself off more times than I can count! Relax, don't surf the internet, and don't decide your doctor must have missed something! 🙂 You are, and will continue to be, FINE!

                              JustMeInCA
                              Participant

                                You are just a bit ridiculous, but I say that as semi-reformed hypochondriac who has killed herself off more times than I can count! Relax, don't surf the internet, and don't decide your doctor must have missed something! 🙂 You are, and will continue to be, FINE!

                                Gordknight
                                Participant

                                  Thank justmeinca!  Yeah Health Anxiety sucks.  I miss the days when I used to not worry about my impending death every other day.  Granted in this situation being hyperactive about my health may have just saved my life… the stress and anxiety gets old fast.  I too have done everything short of picking out the wood type for my casket multiple times in my life.  I really need to stop worrying and decide that no matter life throws at me with melanoma or anything else that I need to punch it back in the face and get through it and do everything I can to stay around instead of fall into despair or depression.

                                  I really appreciate everything everyone has contributed in this thread to make me feel better.  Now I need to stop surfing the internet.  I called my doc and rescheduled my mole exam for tomorrow so I can get anything else he feels needs a biopsy done before my surgery consoltation on monday.  Wish me luck!  

                                  casagrayson
                                  Participant

                                    As an almost-reformed hypochondriac, I understand your angst.  BUT … and this is the key … what is worry going to do for you?  Absolutely nothing.  And, in fact, it will stress your immune system and cause you to be vulnerable to other illnesses.  Worry is nothing but planning for bad things to happen, and why would you want to do that?  

                                    casagrayson
                                    Participant

                                      As an almost-reformed hypochondriac, I understand your angst.  BUT … and this is the key … what is worry going to do for you?  Absolutely nothing.  And, in fact, it will stress your immune system and cause you to be vulnerable to other illnesses.  Worry is nothing but planning for bad things to happen, and why would you want to do that?  

                                      casagrayson
                                      Participant

                                        As an almost-reformed hypochondriac, I understand your angst.  BUT … and this is the key … what is worry going to do for you?  Absolutely nothing.  And, in fact, it will stress your immune system and cause you to be vulnerable to other illnesses.  Worry is nothing but planning for bad things to happen, and why would you want to do that?  

                                        DZnDef
                                        Participant

                                          Gordknight – Imagine you were told you have one week left to live.  You might respond in one of two ways:

                                          1)  Freak out – OMGOMGOMGOMG I'm gonna die OMG OMG OMG! – one week later you're dead

                                          2)  Enjoying every precious second that you have – chats with friends, relishing a beautiful sunset, playing with children, running, hiking, exploring, learning, loving – and one week later you're dead.

                                          The end result is the same in either scenario.  But what a difference in quality of life!

                                          Now, Gordknight, I am going to tell you something true and important:  You have X amount of time left to live. How do you want to spend it?

                                          DZnDef
                                          Participant

                                            Gordknight – Imagine you were told you have one week left to live.  You might respond in one of two ways:

                                            1)  Freak out – OMGOMGOMGOMG I'm gonna die OMG OMG OMG! – one week later you're dead

                                            2)  Enjoying every precious second that you have – chats with friends, relishing a beautiful sunset, playing with children, running, hiking, exploring, learning, loving – and one week later you're dead.

                                            The end result is the same in either scenario.  But what a difference in quality of life!

                                            Now, Gordknight, I am going to tell you something true and important:  You have X amount of time left to live. How do you want to spend it?

                                            Gordknight
                                            Participant

                                              Thanks.  I have told myslef similar things many times and have been told them many times by others.  You are right.  Its so hard to break the health anxiety barrier and let the chips fall where they may.  Its something Ill work on for a long time, but hey I plan on being around for a long time.  So Ill get through this.  Thanks for the help everyone! Ill keep you informed on what my derm tells me tomorrow and if he needs to do more biopsies.

                                              Gordknight
                                              Participant

                                                Thanks.  I have told myslef similar things many times and have been told them many times by others.  You are right.  Its so hard to break the health anxiety barrier and let the chips fall where they may.  Its something Ill work on for a long time, but hey I plan on being around for a long time.  So Ill get through this.  Thanks for the help everyone! Ill keep you informed on what my derm tells me tomorrow and if he needs to do more biopsies.

                                                Gordknight
                                                Participant

                                                  Thanks.  I have told myslef similar things many times and have been told them many times by others.  You are right.  Its so hard to break the health anxiety barrier and let the chips fall where they may.  Its something Ill work on for a long time, but hey I plan on being around for a long time.  So Ill get through this.  Thanks for the help everyone! Ill keep you informed on what my derm tells me tomorrow and if he needs to do more biopsies.

                                                  JustMeInCA
                                                  Participant

                                                    At the peak of my battle with panic attacks and health anxiety, I'd just tell myself: Ok, worst case scenario, I die. Granted, when I "had" syphilis, breast cancer, an impending heart attack or stroke, AIDS, throat cancer, and any number of less fatal ailments, I kinda knew in the back of my mind that I wasn't going to die. Then I almost DID die from what I thought was severe back pain but which turned out to be a gallstone that had lodged itself between two intersecting tubes and led to bile backing up into my liver, mild blood poisoning and jaundice. I was apparently pretty close to checking out by the time I turned yellow and went to the ER. I was in the hospital on intravenous antibiotics for over a week. So go figure! The hypochondriac had no clue when death really did come a knockin'.

                                                    What ultimately "cured" me was Lexapro. I still get mild "omg's" sometimes, but I am no longer anywhere near paralyzed by fear when I notice something new in or on my body. Health anxiety is a form of OCD, so it's not something we can just talk ourselves out of. And when we're cleared of one deadly disease, another is sure to pop up. If you haven't seen a doctor about it, please do. I was in hell for several years because I resisted medications, and I kick myself now for all that wasted time.

                                                    In the meantime, rest assured that this is a relatively small bump on the road that doesn't merit such worry!

                                                    Gordknight
                                                    Participant

                                                      Thanks everyone for the advice and replies!  It has truly helped me!  I wanted to give you all an update on my situation.  Went to my derma again this morining.  He did a full body check and found nothing else that alarmed him.  No more removals or biopsies.  He said he didnt even see any particular moles to keep a close eye on as they all looked normal.  I trust his judgement because he pointed out the melanoma one in the first few seconds he saw on the previous appointment without even using his scope.  He used the scope in the full body exam and found nothing.

                                                      I told him how terrified I was and how high my anxiety has been over it and he said that I would be fine and to calm down.  He went back over my biopsy results with me and just as Janner pointed out, the lesion was SO thin that it almost was considered melanoma in situ.  He even said that it is so close to being considered non cancerous just EXTREMLY ABNORMAL but because is it so on the border of cancer/not cancer that its always best to treat it as melanoma. Also as Janner said the whole thing was removed in the biopsy and my Dr said that its so thin that the layers of skin under the biopsy showed no abnormal cells at all.  I just need the Wide extraction surgery and then Im in the clear.  He said I need to see him every 6 months for 5 years after just to be safe, but he doesnt forsee any spread or problems of any kinds.  Keep a vigilant eye on my skin and remove anything that pops up.  I feel better.  Still a tad nervous with the surgery and all that, but also glad I wont need an oncologist or a lymph node surgery.

                                                      Janner
                                                      Participant

                                                        Good news, glad he helped with your fears a bit.  As for the WLE, it's not that big a deal.  My first one, I went right back to work after it was done.  I have since learned that taking off work after it is done is really acceptable.  I've had maybe 8 or 9 WLEs for various melanomas or abnormal moles.  Local anesthesia, a little inconvenience, and no big deal.  You can make it a big deal, but it certainly doesn't have to be one.  Hang in there!

                                                        Janner
                                                        Participant

                                                          Good news, glad he helped with your fears a bit.  As for the WLE, it's not that big a deal.  My first one, I went right back to work after it was done.  I have since learned that taking off work after it is done is really acceptable.  I've had maybe 8 or 9 WLEs for various melanomas or abnormal moles.  Local anesthesia, a little inconvenience, and no big deal.  You can make it a big deal, but it certainly doesn't have to be one.  Hang in there!

                                                          Janner
                                                          Participant

                                                            Good news, glad he helped with your fears a bit.  As for the WLE, it's not that big a deal.  My first one, I went right back to work after it was done.  I have since learned that taking off work after it is done is really acceptable.  I've had maybe 8 or 9 WLEs for various melanomas or abnormal moles.  Local anesthesia, a little inconvenience, and no big deal.  You can make it a big deal, but it certainly doesn't have to be one.  Hang in there!

                                                            JustMeInCA
                                                            Participant

                                                              I'm so glad he eased your mind. Do not even worry about the WLE. My father had two of them at 82 years old with no problem — and his first tumor was an inch deep! 

                                                              Gordknight
                                                              Participant

                                                                So an update and a new scare came up today.  

                                                                My surgery for the Wide extraction is tomorrow morning.  Thats great.

                                                                 

                                                                The bad news is today the scab where my biopsy was done fell off and now its hard to tell where it was on my neck because the new skin looks like normal skin.  How the hell will the doctor know where to do the WLE now?

                                                                Gordknight
                                                                Participant

                                                                  So an update and a new scare came up today.  

                                                                  My surgery for the Wide extraction is tomorrow morning.  Thats great.

                                                                   

                                                                  The bad news is today the scab where my biopsy was done fell off and now its hard to tell where it was on my neck because the new skin looks like normal skin.  How the hell will the doctor know where to do the WLE now?

                                                                  Gordknight
                                                                  Participant

                                                                    So an update and a new scare came up today.  

                                                                    My surgery for the Wide extraction is tomorrow morning.  Thats great.

                                                                     

                                                                    The bad news is today the scab where my biopsy was done fell off and now its hard to tell where it was on my neck because the new skin looks like normal skin.  How the hell will the doctor know where to do the WLE now?

                                                                    JustMeInCA
                                                                    Participant

                                                                      I'm so glad he eased your mind. Do not even worry about the WLE. My father had two of them at 82 years old with no problem — and his first tumor was an inch deep! 

                                                                      JustMeInCA
                                                                      Participant

                                                                        I'm so glad he eased your mind. Do not even worry about the WLE. My father had two of them at 82 years old with no problem — and his first tumor was an inch deep! 

                                                                        Gordknight
                                                                        Participant

                                                                          Thanks everyone for the advice and replies!  It has truly helped me!  I wanted to give you all an update on my situation.  Went to my derma again this morining.  He did a full body check and found nothing else that alarmed him.  No more removals or biopsies.  He said he didnt even see any particular moles to keep a close eye on as they all looked normal.  I trust his judgement because he pointed out the melanoma one in the first few seconds he saw on the previous appointment without even using his scope.  He used the scope in the full body exam and found nothing.

                                                                          I told him how terrified I was and how high my anxiety has been over it and he said that I would be fine and to calm down.  He went back over my biopsy results with me and just as Janner pointed out, the lesion was SO thin that it almost was considered melanoma in situ.  He even said that it is so close to being considered non cancerous just EXTREMLY ABNORMAL but because is it so on the border of cancer/not cancer that its always best to treat it as melanoma. Also as Janner said the whole thing was removed in the biopsy and my Dr said that its so thin that the layers of skin under the biopsy showed no abnormal cells at all.  I just need the Wide extraction surgery and then Im in the clear.  He said I need to see him every 6 months for 5 years after just to be safe, but he doesnt forsee any spread or problems of any kinds.  Keep a vigilant eye on my skin and remove anything that pops up.  I feel better.  Still a tad nervous with the surgery and all that, but also glad I wont need an oncologist or a lymph node surgery.

                                                                          Gordknight
                                                                          Participant

                                                                            Thanks everyone for the advice and replies!  It has truly helped me!  I wanted to give you all an update on my situation.  Went to my derma again this morining.  He did a full body check and found nothing else that alarmed him.  No more removals or biopsies.  He said he didnt even see any particular moles to keep a close eye on as they all looked normal.  I trust his judgement because he pointed out the melanoma one in the first few seconds he saw on the previous appointment without even using his scope.  He used the scope in the full body exam and found nothing.

                                                                            I told him how terrified I was and how high my anxiety has been over it and he said that I would be fine and to calm down.  He went back over my biopsy results with me and just as Janner pointed out, the lesion was SO thin that it almost was considered melanoma in situ.  He even said that it is so close to being considered non cancerous just EXTREMLY ABNORMAL but because is it so on the border of cancer/not cancer that its always best to treat it as melanoma. Also as Janner said the whole thing was removed in the biopsy and my Dr said that its so thin that the layers of skin under the biopsy showed no abnormal cells at all.  I just need the Wide extraction surgery and then Im in the clear.  He said I need to see him every 6 months for 5 years after just to be safe, but he doesnt forsee any spread or problems of any kinds.  Keep a vigilant eye on my skin and remove anything that pops up.  I feel better.  Still a tad nervous with the surgery and all that, but also glad I wont need an oncologist or a lymph node surgery.

                                                                            JustMeInCA
                                                                            Participant

                                                                              At the peak of my battle with panic attacks and health anxiety, I'd just tell myself: Ok, worst case scenario, I die. Granted, when I "had" syphilis, breast cancer, an impending heart attack or stroke, AIDS, throat cancer, and any number of less fatal ailments, I kinda knew in the back of my mind that I wasn't going to die. Then I almost DID die from what I thought was severe back pain but which turned out to be a gallstone that had lodged itself between two intersecting tubes and led to bile backing up into my liver, mild blood poisoning and jaundice. I was apparently pretty close to checking out by the time I turned yellow and went to the ER. I was in the hospital on intravenous antibiotics for over a week. So go figure! The hypochondriac had no clue when death really did come a knockin'.

                                                                              What ultimately "cured" me was Lexapro. I still get mild "omg's" sometimes, but I am no longer anywhere near paralyzed by fear when I notice something new in or on my body. Health anxiety is a form of OCD, so it's not something we can just talk ourselves out of. And when we're cleared of one deadly disease, another is sure to pop up. If you haven't seen a doctor about it, please do. I was in hell for several years because I resisted medications, and I kick myself now for all that wasted time.

                                                                              In the meantime, rest assured that this is a relatively small bump on the road that doesn't merit such worry!

                                                                              JustMeInCA
                                                                              Participant

                                                                                At the peak of my battle with panic attacks and health anxiety, I'd just tell myself: Ok, worst case scenario, I die. Granted, when I "had" syphilis, breast cancer, an impending heart attack or stroke, AIDS, throat cancer, and any number of less fatal ailments, I kinda knew in the back of my mind that I wasn't going to die. Then I almost DID die from what I thought was severe back pain but which turned out to be a gallstone that had lodged itself between two intersecting tubes and led to bile backing up into my liver, mild blood poisoning and jaundice. I was apparently pretty close to checking out by the time I turned yellow and went to the ER. I was in the hospital on intravenous antibiotics for over a week. So go figure! The hypochondriac had no clue when death really did come a knockin'.

                                                                                What ultimately "cured" me was Lexapro. I still get mild "omg's" sometimes, but I am no longer anywhere near paralyzed by fear when I notice something new in or on my body. Health anxiety is a form of OCD, so it's not something we can just talk ourselves out of. And when we're cleared of one deadly disease, another is sure to pop up. If you haven't seen a doctor about it, please do. I was in hell for several years because I resisted medications, and I kick myself now for all that wasted time.

                                                                                In the meantime, rest assured that this is a relatively small bump on the road that doesn't merit such worry!

                                                                                DZnDef
                                                                                Participant

                                                                                  Gordknight – Imagine you were told you have one week left to live.  You might respond in one of two ways:

                                                                                  1)  Freak out – OMGOMGOMGOMG I'm gonna die OMG OMG OMG! – one week later you're dead

                                                                                  2)  Enjoying every precious second that you have – chats with friends, relishing a beautiful sunset, playing with children, running, hiking, exploring, learning, loving – and one week later you're dead.

                                                                                  The end result is the same in either scenario.  But what a difference in quality of life!

                                                                                  Now, Gordknight, I am going to tell you something true and important:  You have X amount of time left to live. How do you want to spend it?

                                                                                  Gordknight
                                                                                  Participant

                                                                                    Thank justmeinca!  Yeah Health Anxiety sucks.  I miss the days when I used to not worry about my impending death every other day.  Granted in this situation being hyperactive about my health may have just saved my life… the stress and anxiety gets old fast.  I too have done everything short of picking out the wood type for my casket multiple times in my life.  I really need to stop worrying and decide that no matter life throws at me with melanoma or anything else that I need to punch it back in the face and get through it and do everything I can to stay around instead of fall into despair or depression.

                                                                                    I really appreciate everything everyone has contributed in this thread to make me feel better.  Now I need to stop surfing the internet.  I called my doc and rescheduled my mole exam for tomorrow so I can get anything else he feels needs a biopsy done before my surgery consoltation on monday.  Wish me luck!  

                                                                                    Gordknight
                                                                                    Participant

                                                                                      Thank justmeinca!  Yeah Health Anxiety sucks.  I miss the days when I used to not worry about my impending death every other day.  Granted in this situation being hyperactive about my health may have just saved my life… the stress and anxiety gets old fast.  I too have done everything short of picking out the wood type for my casket multiple times in my life.  I really need to stop worrying and decide that no matter life throws at me with melanoma or anything else that I need to punch it back in the face and get through it and do everything I can to stay around instead of fall into despair or depression.

                                                                                      I really appreciate everything everyone has contributed in this thread to make me feel better.  Now I need to stop surfing the internet.  I called my doc and rescheduled my mole exam for tomorrow so I can get anything else he feels needs a biopsy done before my surgery consoltation on monday.  Wish me luck!  

                                                                                      JustMeInCA
                                                                                      Participant

                                                                                        You are just a bit ridiculous, but I say that as semi-reformed hypochondriac who has killed herself off more times than I can count! Relax, don't surf the internet, and don't decide your doctor must have missed something! 🙂 You are, and will continue to be, FINE!

                                                                                        Gordknight
                                                                                        Participant

                                                                                          Thanks for the advice!  My Derm already told me after my surgery he wants to see me every 6 months from there on out to do a full body check.  He seems great.  The second I got my diagnosis all I could do was think about two moles on the other side of my neck that I removed myself with apple cider vinegar and now I am worred that I burned away moles that were possibly melanoma and its still there under my skin.  I have another appointment 2 days after my consultation with the surgeon to get a full body check just for peace of mind.  Ill have him look at those spots.  

                                                                                          I have a feeling this cancer is from when I was a teenager and would skateboard all day in the desert sun every day with no sun screen.  Damn me.  I still cant shake this feeling that Im not gonna be around much longer.. am I rediculous for thinking that this is the end?  

                                                                                          Thanks everyone for your replies and your support.  It means a lot.

                                                                                          Janner
                                                                                          Participant

                                                                                            < 10% of the melanoma population ever have more than one melanoma.

                                                                                            Take pictures using a ruler and good lighting you can duplicate.  Monthly, compare moles to the pics in that same lighting.  Lighting is crucial because it causes you to think there are changes when there aren't any.  Any mole that changes should be shown to your derm.  Changing moles do NOT indicate melanoma, they indicate a higher risk for melanoma.  I've had 3 melanomas (I have a genetic defect for melanoma) and I ONLY remove moles that change.  I have a set of baseline pictures and I use that for comparisons.   Again, you are really looking for the ugly duckling — if you have several moles that look similar, then they aren't ugly ducklings and normal for you. 

                                                                                            Gordknight
                                                                                            Participant
                                                                                              Thanks. Your message is reassuring. Now I’m worried that every mole on my body is a malenoma lol. What is the likelyhood that I have more than one melanoma at a time?
                                                                                              Gordknight
                                                                                              Participant
                                                                                                Thanks. Your message is reassuring. Now I’m worried that every mole on my body is a malenoma lol. What is the likelyhood that I have more than one melanoma at a time?
                                                                                              Janner
                                                                                              Participant

                                                                                                Don't start digging your grave yet, this is a VERY EARLY melanoma.  Very high survival rate.  Stage IA.  All your margins were clear, so surgery just to get extra margins is the only thing left to do.  Knocking the scab off is not going to change anything, the entire lesion was removed with the biopsy.  Besides, that's really not how cancer cells spread.  There is absolutely NOTHING high risk about this lesion – all factors are just what you'd like to see for the lowest risk possible.  Stage IA has an extremely high survival rate — maybe 98%+.  (You can't look at old charts for survival for stage IA because the staging changed in 2010 and it became a much more exclusive club).  BTW, the shave biopsy is perfectly fine here.  Shaves are only a problem when they bisect a lesion because you lose staging information.  That didn't happen here so the biopsy type isn't an issue.

                                                                                                It's hard to say "relax" to a person like you, but that's what you have to do.  Get the WLE (wide local excision) surgery done and then move on.  Practice sun safety.  Watch for other moles that change.  Live life!!!!  Despite this diagnosis, chances are still very good you will have a long life — at least you won't be dying from this type of cancer anyway!

                                                                                                Janner
                                                                                                Participant

                                                                                                  Don't start digging your grave yet, this is a VERY EARLY melanoma.  Very high survival rate.  Stage IA.  All your margins were clear, so surgery just to get extra margins is the only thing left to do.  Knocking the scab off is not going to change anything, the entire lesion was removed with the biopsy.  Besides, that's really not how cancer cells spread.  There is absolutely NOTHING high risk about this lesion – all factors are just what you'd like to see for the lowest risk possible.  Stage IA has an extremely high survival rate — maybe 98%+.  (You can't look at old charts for survival for stage IA because the staging changed in 2010 and it became a much more exclusive club).  BTW, the shave biopsy is perfectly fine here.  Shaves are only a problem when they bisect a lesion because you lose staging information.  That didn't happen here so the biopsy type isn't an issue.

                                                                                                  It's hard to say "relax" to a person like you, but that's what you have to do.  Get the WLE (wide local excision) surgery done and then move on.  Practice sun safety.  Watch for other moles that change.  Live life!!!!  Despite this diagnosis, chances are still very good you will have a long life — at least you won't be dying from this type of cancer anyway!

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