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In situ requires WLE?
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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 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 12:52 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 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 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 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 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 20, 2016 at 12:31 am
                                                      WithinMySkin
                                                      Participant
                                                        <3 it! Made my day, too!
                                                      • October 19, 2016 at 2:32 pm
                                                      BrianP
                                                      Participant

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

                                                        Brian

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