MRF-Logo2019-Horizontal-RGB
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 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

                                                    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.