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My second opinion from a derm

Forums Cutaneous Melanoma Community My second opinion from a derm

  • Post
    stars
    Participant

      I went to see a derm yesterday for a second opinion – to date my treatment has been through a skin cancer clinic run by GPs (three primary mels – stage 0, stage 1, stage 1). The derm was quite impressed – if that's the word – at meeting someone with three mels. He established that I didn't have familial mel (no family history), nor did I have dysplastic nevi syndrome or whatever that's called where you have hundreds of weird moles. He puts my mel down to early, harsh sun damage (I grew up baking under very harsh outback sun in Australia, in the days before sun safety). He had a good old look at my skin, but a bit too quickly for my liking – either he's that great that he can do it quickly, or he's not that great and did a half-ass job. He biopsied two moles on my back – shave biopsy, which I queried as I prefer full excision with 2mm margin. He assured me the shave would get the full lesion and 2mm margin as well, which to be frank I don't believe. Both moles were not regarded as suspicious by the skin cancer clinic GP, or my family GP who did another skin check a few weeks ago. One was a flattish brown mole with a tiny dark spot – biopsied because of the dark spot – the other was a smaller 'whirly' mole with blurred edges. I've had one of those biopsied before and it was moderately dysplastic so worth taking of. It was biopsied because of the smudgy blurred edges. So this is my third full skin check in two months – two GPs (or general practitioners) and one dermatologist.And I am again playing the waiting game, probably until Monday. He recommended six monthly checks for me (assuming the biopsies are not too concerning), which I would very much like. I would LOVE to have to think about mel only every 6 months (or perhaps 1 / month self skin-check) !

    Viewing 5 reply threads
    • Replies
        DianaD
        Participant

          I hope that you get good news, Stars.  Will you return to this dermatolgist for the six month check-ups?  

          DianaD
          Participant

            I hope that you get good news, Stars.  Will you return to this dermatolgist for the six month check-ups?  

              stars
              Participant

                Thanks, Diana. I am undecided between derm and GP. If the derm gets it right and either of these are melanoma, I will definitely go to him again as he has spotted what others have missed. If not, I'm favouring the skin cancer clinic – it's essentially free (derm is expensive), I like the dr better (am very comfortable with her), and I like the digital dermoscopy and photography they use (derm used a kind of helmet / goggle thing, and only used a hand-held dermascope to look at a few lesions – the GP uses the digital dermoscopy for each and every lesion, and takes photos of anything dicey).

                DianaD
                Participant

                  What is a digital dermoscopy?  Sounds like you have a plan.  You can always continue with the skin clinic, and have the dermatologist in your back pocket for a second opinion, like you did this time. 

                  stars
                  Participant

                    Hi – digital dermoscopy is something like this:

                    http://www.cliderma.com.br/english/servicos/index3.aspx

                    The digital image shows the patterns etc within a melanoma more clearly

                    There are some types that use some kind of algorithm, so the computer basically 'decides' what is melanoma – that is not what my doc uses and it's apparently not the best idea as the algorithm is easily fooled.

                    My doc uses the naked eye, a dermoscope and a digital dermoscope.

                    Stars

                    DianaD
                    Participant

                      Thank you–the information at the link is very helpful!

                      DianaD
                      Participant

                        Thank you–the information at the link is very helpful!

                        DianaD
                        Participant

                          Thank you–the information at the link is very helpful!

                          stars
                          Participant

                            Hi – digital dermoscopy is something like this:

                            http://www.cliderma.com.br/english/servicos/index3.aspx

                            The digital image shows the patterns etc within a melanoma more clearly

                            There are some types that use some kind of algorithm, so the computer basically 'decides' what is melanoma – that is not what my doc uses and it's apparently not the best idea as the algorithm is easily fooled.

                            My doc uses the naked eye, a dermoscope and a digital dermoscope.

                            Stars

                            stars
                            Participant

                              Hi – digital dermoscopy is something like this:

                              http://www.cliderma.com.br/english/servicos/index3.aspx

                              The digital image shows the patterns etc within a melanoma more clearly

                              There are some types that use some kind of algorithm, so the computer basically 'decides' what is melanoma – that is not what my doc uses and it's apparently not the best idea as the algorithm is easily fooled.

                              My doc uses the naked eye, a dermoscope and a digital dermoscope.

                              Stars

                              DianaD
                              Participant

                                What is a digital dermoscopy?  Sounds like you have a plan.  You can always continue with the skin clinic, and have the dermatologist in your back pocket for a second opinion, like you did this time. 

                                DianaD
                                Participant

                                  What is a digital dermoscopy?  Sounds like you have a plan.  You can always continue with the skin clinic, and have the dermatologist in your back pocket for a second opinion, like you did this time. 

                                  stars
                                  Participant

                                    Thanks, Diana. I am undecided between derm and GP. If the derm gets it right and either of these are melanoma, I will definitely go to him again as he has spotted what others have missed. If not, I'm favouring the skin cancer clinic – it's essentially free (derm is expensive), I like the dr better (am very comfortable with her), and I like the digital dermoscopy and photography they use (derm used a kind of helmet / goggle thing, and only used a hand-held dermascope to look at a few lesions – the GP uses the digital dermoscopy for each and every lesion, and takes photos of anything dicey).

                                    stars
                                    Participant

                                      Thanks, Diana. I am undecided between derm and GP. If the derm gets it right and either of these are melanoma, I will definitely go to him again as he has spotted what others have missed. If not, I'm favouring the skin cancer clinic – it's essentially free (derm is expensive), I like the dr better (am very comfortable with her), and I like the digital dermoscopy and photography they use (derm used a kind of helmet / goggle thing, and only used a hand-held dermascope to look at a few lesions – the GP uses the digital dermoscopy for each and every lesion, and takes photos of anything dicey).

                                    DianaD
                                    Participant

                                      I hope that you get good news, Stars.  Will you return to this dermatolgist for the six month check-ups?  

                                      stars
                                      Participant

                                        Update: got my path resuls, both biopsies were mildly dysplastic so for the first time in a long time I don't need any further excisions. So relieved!

                                          DZnDef
                                          Participant

                                            Excellent news, Stars!  Congratulations!  What a nice break for you.  I hope the streak continues for years to come.

                                            DZnDef
                                            Participant

                                              Excellent news, Stars!  Congratulations!  What a nice break for you.  I hope the streak continues for years to come.

                                              DZnDef
                                              Participant

                                                Excellent news, Stars!  Congratulations!  What a nice break for you.  I hope the streak continues for years to come.

                                              stars
                                              Participant

                                                Update: got my path resuls, both biopsies were mildly dysplastic so for the first time in a long time I don't need any further excisions. So relieved!

                                                stars
                                                Participant

                                                  Update: got my path resuls, both biopsies were mildly dysplastic so for the first time in a long time I don't need any further excisions. So relieved!

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