› Forums › General Melanoma Community › Is it possible to have a lump 70mm big??!!
- This topic has 42 replies, 4 voices, and was last updated 13 years, 3 months ago by
Karolina.
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- November 26, 2011 at 12:51 pm
hi
i was wondering if it is possible to have a melanoma lump as big as 70mm if as so far I was reading about Breslow's scacle up to 10mm really? Please advise as I am confused…
hi
i was wondering if it is possible to have a melanoma lump as big as 70mm if as so far I was reading about Breslow's scacle up to 10mm really? Please advise as I am confused…
- Replies
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- November 26, 2011 at 1:54 pm
You may be confusing a actual 70 millimeter (7 cm) size of a tumor with the Breslow depth or thickness of a mole which is also measured in mm.
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- November 26, 2011 at 3:23 pm
It means that the doctors now have to determine the stage. This will depend on a number of factors, for example:
– was the tumor a metastasis or maybe a primary internal melanoma (rare)
– if it was a metastasis, how far away from the original tumor was it?
An internal melanoma tumor is a serious diagnosis, but there are many here who have survived such a diagnosis or lived with it for many years.
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- November 26, 2011 at 3:23 pm
It means that the doctors now have to determine the stage. This will depend on a number of factors, for example:
– was the tumor a metastasis or maybe a primary internal melanoma (rare)
– if it was a metastasis, how far away from the original tumor was it?
An internal melanoma tumor is a serious diagnosis, but there are many here who have survived such a diagnosis or lived with it for many years.
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- November 26, 2011 at 3:33 pm
p.s.: Don't hesitate if you have more questions. But during the weekend, this forum is often quite slow. On monday, the chance to get more advice is higher.
An important point is that your friend should see a Melanoma specialist if she does not already.See for example this list of treatment centers: http://www.melanoma.org/learn-more/melanoma-treatment-centers
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- November 26, 2011 at 3:48 pm
Thank you for your response.
She had done SNB and it came back negative… but as i understand this is not to say that this type of cancer – desmoplastic melanoma – could spread elsewhere e.g. lung, stomach. As so far she has not been told a stage of this cancer. After removing a second lump (3 weeks ago) she now has been told that some cancer cells are still on the skin hence third operation is required. The problem is that there is not enough skin on her neck/back to stich it back after 3rd operation! Therefore she has been told that they will leave a wound opened until they will make sure no more skin is needed to be removed. Then they will take a skin from her leg to stich it back.
However, I am still not sure whether this big lump could cause any harm in her body. Annoying thing is that after 4 weeks of operations and consultations she still actually doesn’t know where she stands.
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- November 26, 2011 at 3:48 pm
Thank you for your response.
She had done SNB and it came back negative… but as i understand this is not to say that this type of cancer – desmoplastic melanoma – could spread elsewhere e.g. lung, stomach. As so far she has not been told a stage of this cancer. After removing a second lump (3 weeks ago) she now has been told that some cancer cells are still on the skin hence third operation is required. The problem is that there is not enough skin on her neck/back to stich it back after 3rd operation! Therefore she has been told that they will leave a wound opened until they will make sure no more skin is needed to be removed. Then they will take a skin from her leg to stich it back.
However, I am still not sure whether this big lump could cause any harm in her body. Annoying thing is that after 4 weeks of operations and consultations she still actually doesn’t know where she stands.
-
- November 26, 2011 at 3:48 pm
Thank you for your response.
She had done SNB and it came back negative… but as i understand this is not to say that this type of cancer – desmoplastic melanoma – could spread elsewhere e.g. lung, stomach. As so far she has not been told a stage of this cancer. After removing a second lump (3 weeks ago) she now has been told that some cancer cells are still on the skin hence third operation is required. The problem is that there is not enough skin on her neck/back to stich it back after 3rd operation! Therefore she has been told that they will leave a wound opened until they will make sure no more skin is needed to be removed. Then they will take a skin from her leg to stich it back.
However, I am still not sure whether this big lump could cause any harm in her body. Annoying thing is that after 4 weeks of operations and consultations she still actually doesn’t know where she stands.
-
- November 26, 2011 at 3:33 pm
p.s.: Don't hesitate if you have more questions. But during the weekend, this forum is often quite slow. On monday, the chance to get more advice is higher.
An important point is that your friend should see a Melanoma specialist if she does not already.See for example this list of treatment centers: http://www.melanoma.org/learn-more/melanoma-treatment-centers
-
- November 26, 2011 at 3:33 pm
p.s.: Don't hesitate if you have more questions. But during the weekend, this forum is often quite slow. On monday, the chance to get more advice is higher.
An important point is that your friend should see a Melanoma specialist if she does not already.See for example this list of treatment centers: http://www.melanoma.org/learn-more/melanoma-treatment-centers
-
- November 26, 2011 at 3:23 pm
It means that the doctors now have to determine the stage. This will depend on a number of factors, for example:
– was the tumor a metastasis or maybe a primary internal melanoma (rare)
– if it was a metastasis, how far away from the original tumor was it?
An internal melanoma tumor is a serious diagnosis, but there are many here who have survived such a diagnosis or lived with it for many years.
-
- November 26, 2011 at 4:56 pm
No, the Breslow scale will not apply to the tumor. It is for the primary (mole) to determine the depth of the melanoma.
The 100mm x 70mm is the actual tumor size, not the Breslow depth.
Has it been confirmed the tumor removed was melanoma? If so, based on what you said on your lasst post below, it seems your friend is most likely stage four at this point.
She seriousl, needs to become proactive about this and know what is going on.
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- November 26, 2011 at 4:56 pm
No, the Breslow scale will not apply to the tumor. It is for the primary (mole) to determine the depth of the melanoma.
The 100mm x 70mm is the actual tumor size, not the Breslow depth.
Has it been confirmed the tumor removed was melanoma? If so, based on what you said on your lasst post below, it seems your friend is most likely stage four at this point.
She seriousl, needs to become proactive about this and know what is going on.
-
- November 26, 2011 at 4:56 pm
No, the Breslow scale will not apply to the tumor. It is for the primary (mole) to determine the depth of the melanoma.
The 100mm x 70mm is the actual tumor size, not the Breslow depth.
Has it been confirmed the tumor removed was melanoma? If so, based on what you said on your lasst post below, it seems your friend is most likely stage four at this point.
She seriousl, needs to become proactive about this and know what is going on.
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- November 26, 2011 at 5:48 pm
The treatment will be the same as for other stage four types. Some options are having the tumor BRAF tested to see if it is positive for the mutation. If positive, this will make BRAF inhibitors such as Zelboraf (vemurafenib ) a possible option. Other possibilities are Yervoy, Anti PD-1, Interleukin II, Adoptive cell therapy and others that may be discussed with her by a melanoma oncologist.
Tell her she needs to be her own best advocate.
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- November 26, 2011 at 5:48 pm
The treatment will be the same as for other stage four types. Some options are having the tumor BRAF tested to see if it is positive for the mutation. If positive, this will make BRAF inhibitors such as Zelboraf (vemurafenib ) a possible option. Other possibilities are Yervoy, Anti PD-1, Interleukin II, Adoptive cell therapy and others that may be discussed with her by a melanoma oncologist.
Tell her she needs to be her own best advocate.
-
- November 26, 2011 at 5:48 pm
The treatment will be the same as for other stage four types. Some options are having the tumor BRAF tested to see if it is positive for the mutation. If positive, this will make BRAF inhibitors such as Zelboraf (vemurafenib ) a possible option. Other possibilities are Yervoy, Anti PD-1, Interleukin II, Adoptive cell therapy and others that may be discussed with her by a melanoma oncologist.
Tell her she needs to be her own best advocate.
-
- November 27, 2011 at 2:46 am
Karolina — It looks like Desmoplastic Melanoma behaves quite a bit differently from other types. As far as I can gather from the little bit of info online, it looks like local recurrances are more common, but overall survival is better. It is a variant of spindle cell type also, which I've always heard was a "slow growing" melanoma — so the news is not all bad. You'd have to study up quite a bit to get a handle on this type as it is rare and also different for the type most of us have.
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- November 28, 2011 at 9:32 am
DonW, thank you for your reply… unfortunately that's true that Desmoplastic melanoma behaves differently hence we are where we are and we know not a lot at the present day. My friend has a third operation tomorrow and hopefully they will say some more… i guess that the key answer is whether is has spread elsewhere so far or not. IT seems to be so easy to check but as mentioned before, after almost 4 weeks we still know nothing…. And I guess this is the most difficult part as we don’t know where we are with it.
Anyway, we need to wait and see what they’ll say
Thank you All for your replies. Every information received is helpful
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- November 29, 2011 at 7:55 am
Could someone explain to me dependence between a size of a lump and a melanoma thickness? We have been told yesterday that there was 1mm melanoma on my friend’s neck. It seems to be really thin melanoma according to the lump size.
Please bear in mine that above measurements are for a second lump as the fists one has been removed without any margin as it was not diagnosed as melanoma -
- November 29, 2011 at 7:55 am
Could someone explain to me dependence between a size of a lump and a melanoma thickness? We have been told yesterday that there was 1mm melanoma on my friend’s neck. It seems to be really thin melanoma according to the lump size.
Please bear in mine that above measurements are for a second lump as the fists one has been removed without any margin as it was not diagnosed as melanoma -
- November 29, 2011 at 7:55 am
Could someone explain to me dependence between a size of a lump and a melanoma thickness? We have been told yesterday that there was 1mm melanoma on my friend’s neck. It seems to be really thin melanoma according to the lump size.
Please bear in mine that above measurements are for a second lump as the fists one has been removed without any margin as it was not diagnosed as melanoma -
- November 28, 2011 at 9:32 am
DonW, thank you for your reply… unfortunately that's true that Desmoplastic melanoma behaves differently hence we are where we are and we know not a lot at the present day. My friend has a third operation tomorrow and hopefully they will say some more… i guess that the key answer is whether is has spread elsewhere so far or not. IT seems to be so easy to check but as mentioned before, after almost 4 weeks we still know nothing…. And I guess this is the most difficult part as we don’t know where we are with it.
Anyway, we need to wait and see what they’ll say
Thank you All for your replies. Every information received is helpful
-
- November 28, 2011 at 9:32 am
DonW, thank you for your reply… unfortunately that's true that Desmoplastic melanoma behaves differently hence we are where we are and we know not a lot at the present day. My friend has a third operation tomorrow and hopefully they will say some more… i guess that the key answer is whether is has spread elsewhere so far or not. IT seems to be so easy to check but as mentioned before, after almost 4 weeks we still know nothing…. And I guess this is the most difficult part as we don’t know where we are with it.
Anyway, we need to wait and see what they’ll say
Thank you All for your replies. Every information received is helpful
-
- November 27, 2011 at 2:46 am
Karolina — It looks like Desmoplastic Melanoma behaves quite a bit differently from other types. As far as I can gather from the little bit of info online, it looks like local recurrances are more common, but overall survival is better. It is a variant of spindle cell type also, which I've always heard was a "slow growing" melanoma — so the news is not all bad. You'd have to study up quite a bit to get a handle on this type as it is rare and also different for the type most of us have.
-
- November 27, 2011 at 2:46 am
Karolina — It looks like Desmoplastic Melanoma behaves quite a bit differently from other types. As far as I can gather from the little bit of info online, it looks like local recurrances are more common, but overall survival is better. It is a variant of spindle cell type also, which I've always heard was a "slow growing" melanoma — so the news is not all bad. You'd have to study up quite a bit to get a handle on this type as it is rare and also different for the type most of us have.
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