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Melanoma arising in a spitzoid nevus

Forums General Melanoma Community Melanoma arising in a spitzoid nevus

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    feich
    Participant

      Hello All.

      I was very recently diagnosed with melanoma arising in a Spitz Nevus. However, my story is a little confusing, and I am hoping to get some answers that my doctor wasn't able to provide.

      Hello All.

      I was very recently diagnosed with melanoma arising in a Spitz Nevus. However, my story is a little confusing, and I am hoping to get some answers that my doctor wasn't able to provide.

      I got a slightly itchy mole removed from my back. After removing the mole, I came back in two weeks later to get stitches removed. The doctor said they had to send my results out for a second opinion. The doctor that gave the second opinion said that while the first biopsy had come back negative, an area of my mole he felt was melanoma arising from a spitz nevus. The small, nodular dermal  (slightly more than a millimeter in thickness) had melanocytes that had small uniform nuclei and finely granular pigmented cytoplasm. They formed as confluent collections forming a non maturing module.

      The doctor finally concluded that based on the nodular dermal component he cannot defend any diagnosis but a tiny focus of melanoma arising in what appeared to be a pre-existing spitz nevus.

      Since this was from a referring pathologist and not my actual doctor, my actual doctor didnt seem to have many answers for me. They scheduled me in for an excision but said it would take 2-3 weeks to get in. He also said they would check the lymph nodes when I went in. I will go nuts waiting 2-3 weeks to get more answers. Im just wondering a few things:

      Since they don't definitevely say that I have melanoma, is there a chance this is benign and they are just being cautious? (if so I would rather be safe than sorry)

      If I get it excised and it hasn't spread to the lymph nodes, will that take care of it?

      Is there a large history of these changing into metastes (sp?) moles over time even if it is excised?

      If it has spread, what is the treatment and or prognosis?

      Does 2-3 weeks seem like a long time to wait to get in and get this taken care of?

      Any help anyone could give me in terms of answers or just clarification, would be extremely helpful. Thank you all for your time.

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    • Replies
        W.
        Participant

           

          Hi!

          You inadvertently posted on the Off-Topic board. You will get more answers over on the main board:  http://www.melanoma.org/community/mrf-bulletin-board

            TinaR
            Participant

              You beat me to it! I was just about to post this and copy the post to the main board..

              Happy November 1st. to a nice anonymous poster 🙂

              TinaR
              Participant

                You beat me to it! I was just about to post this and copy the post to the main board..

                Happy November 1st. to a nice anonymous poster 🙂

              W.
              Participant

                 

                Hi!

                You inadvertently posted on the Off-Topic board. You will get more answers over on the main board:  http://www.melanoma.org/community/mrf-bulletin-board

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