In situ requires WLE?
REGISTER
The information on this site is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Content within the patient forum is user-generated and has not been reviewed by medical professionals. Other sections of the Melanoma Research Foundation website include information that has been reviewed by medical professionals as appropriate. All medical decisions should be made in consultation with your doctor or other qualified medical professional.

In situ requires WLE?

› Forums › General Melanoma Community › In situ requires WLE?

  • Post
    • October 17, 2016 at 11:35 pm
    POW
    Participant

    A friend of mine was just diagnosted with malignant melanoma Stage 0, which I think is "in situ", right? His doctor just took a punch biopsy and said no further treatment was necessary. Is a wide local excision (WLE) usually ordered for a Stage 0?

Viewing 8 reply threads
  • Replies
      • October 18, 2016 at 12:45 am
      Aubreesmommy41
      Participant

      Most in situs require a WLE. I'd tell your friend to push or seek a second opinion before just letting it go.

      • October 18, 2016 at 12:45 am
      Aubreesmommy41
      Participant

      Most in situs require a WLE. I'd tell your friend to push or seek a second opinion before just letting it go.

      • October 18, 2016 at 12:45 am
      Aubreesmommy41
      Participant

      Most in situs require a WLE. I'd tell your friend to push or seek a second opinion before just letting it go.

      • October 18, 2016 at 2:10 am
      Janner
      Participant

      Standard of care for stage 0 (in situ) is 5mm margins.  If your friend's biopsy report doesn't list 5mm clear margins, s/he should demand them.  Surgery is THE most important prevention from future melanoma issues.

      • October 18, 2016 at 2:10 am
      Janner
      Participant

      Standard of care for stage 0 (in situ) is 5mm margins.  If your friend's biopsy report doesn't list 5mm clear margins, s/he should demand them.  Surgery is THE most important prevention from future melanoma issues.

      • October 18, 2016 at 2:10 am
      Janner
      Participant

      Standard of care for stage 0 (in situ) is 5mm margins.  If your friend's biopsy report doesn't list 5mm clear margins, s/he should demand them.  Surgery is THE most important prevention from future melanoma issues.

        • October 18, 2016 at 7:38 pm
        POW
        Participant

        Thank you both for your replies. That helps a lot. One other question… is the "mitotic index" considered when determining whether or not to do an WLE?

        Thanks again for your help and advice!

        • October 19, 2016 at 12:59 am
        Janner
        Participant

        By definition, in situ has a mitosis of 0.  A WLE is ALWAYS done to obtain required margins.

        • October 19, 2016 at 12:59 am
        Janner
        Participant

        By definition, in situ has a mitosis of 0.  A WLE is ALWAYS done to obtain required margins.

        • October 19, 2016 at 12:52 pm
        POW
        Participant

        In situ has a mitosis of 0? I didn't know that. Thank you!

        • October 19, 2016 at 12:52 pm
        POW
        Participant

        In situ has a mitosis of 0? I didn't know that. Thank you!

        • October 19, 2016 at 12:52 pm
        POW
        Participant

        In situ has a mitosis of 0? I didn't know that. Thank you!

        • October 19, 2016 at 12:59 am
        Janner
        Participant

        By definition, in situ has a mitosis of 0.  A WLE is ALWAYS done to obtain required margins.

        • October 18, 2016 at 7:38 pm
        POW
        Participant

        Thank you both for your replies. That helps a lot. One other question… is the "mitotic index" considered when determining whether or not to do an WLE?

        Thanks again for your help and advice!

        • October 18, 2016 at 7:38 pm
        POW
        Participant

        Thank you both for your replies. That helps a lot. One other question… is the "mitotic index" considered when determining whether or not to do an WLE?

        Thanks again for your help and advice!

      • October 19, 2016 at 2:32 pm
      BrianP
      Participant

      A POW and Janner sighting in one post. Just made my day!

      Brian

      • October 19, 2016 at 2:32 pm
      BrianP
      Participant

      A POW and Janner sighting in one post. Just made my day!

      Brian

        • October 20, 2016 at 12:31 am
        WithinMySkin
        Participant
        <3 it! Made my day, too!
        • October 20, 2016 at 12:31 am
        WithinMySkin
        Participant
        <3 it! Made my day, too!
        • October 20, 2016 at 12:31 am
        WithinMySkin
        Participant
        <3 it! Made my day, too!
        • October 20, 2016 at 2:03 am
        POW
        Participant

        LOL! You folks made MY day! So happy to see you here!

        • October 20, 2016 at 2:03 am
        POW
        Participant

        LOL! You folks made MY day! So happy to see you here!

        • October 20, 2016 at 2:03 am
        POW
        Participant

        LOL! You folks made MY day! So happy to see you here!

      • October 19, 2016 at 2:32 pm
      BrianP
      Participant

      A POW and Janner sighting in one post. Just made my day!

      Brian

Viewing 8 reply threads
  • You must be logged in to reply to this topic.
About the MRF Patient Forum

The MRF Patient Forum is the oldest and largest online community of people affected by melanoma. It is designed to provide peer support and information to caregivers, patients, family and friends. There is no better place to discuss different parts of your journey with this cancer and find the friends and support resources to make that journey more bearable.

The information on the forum is open and accessible to everyone. To add a new topic or to post a reply, you must be a registered user. Please note that you will be able to post both topics and replies anonymously even though you are logged in. All posts must abide by MRF posting policies.