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Had wide extension on right elbow and 2 lymph nodes from my arm pit removed. The skin showed Melanoma in situ completely removed with microsatellites removed. Tumor present in lymphatic vessel. Lymph node #244 negative. Lymph node #325 positive for metastatic melanoma with largest focus 0.06. Surgeon says this is 3c. With such a small amount in just one lymph node (0.06) why is it 3c? PET scan shows nothing
Anita, first if you have your pathology report or report from sentinel node biopsy if you could share the written part it would be helpful. Surgeon will not do sentinel node biopsy on melanoma in situ because by definition there is no depth and depth of melanoma in skin (mole) is what is used to decide what to do next. If you had sentinel node biopsy and wide local incision then the depth of original mole or melanoma tumor had to be at least .8mm or deeper for surgeon to do sentinel lymph node biopsy. In following video from MD Anderson one of the leading melanoma treatment centers in the world at the 4 min mark the Dr. explains the T category (depth of primary melanoma) and how that is used in staging process. The whole video is good and is about early part of melanoma journey. Best Wishes!!! Ed https://www.youtube.com/watch?v=O3wWLHRO6W0
It doesn’t matter the size of the spread, just the fact that the melanoma *has* spread.
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