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Regional vs local metastisis

Forums General Melanoma Community Regional vs local metastisis

  • Post
    Shaneswife
    Participant
      Hi

      If your primary lesion is located on the left trunk and with a negative snlb on both sides, and your primary spreads to the right side lymph nodes is that considered a regional or local metastisis?

      Thanks in advance.

      Janis

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    • Replies
        Janner
        Participant

          Local metastasis means local to the primary and so is spread on the skin within a couple of centimeters of the primary.  Regional spread is to the lymph nodes where the SLNB drained.  Distant metastases is spread outside the SLNB basins.  If the SLNB indicated that it drained to both sides, and a metastasis happened in one of those same SLNB drainage basins, then that is regional but not distant spread.  Stage III vs stage IV disease.

          Janner
          Participant

            Local metastasis means local to the primary and so is spread on the skin within a couple of centimeters of the primary.  Regional spread is to the lymph nodes where the SLNB drained.  Distant metastases is spread outside the SLNB basins.  If the SLNB indicated that it drained to both sides, and a metastasis happened in one of those same SLNB drainage basins, then that is regional but not distant spread.  Stage III vs stage IV disease.

            Janner
            Participant

              Local metastasis means local to the primary and so is spread on the skin within a couple of centimeters of the primary.  Regional spread is to the lymph nodes where the SLNB drained.  Distant metastases is spread outside the SLNB basins.  If the SLNB indicated that it drained to both sides, and a metastasis happened in one of those same SLNB drainage basins, then that is regional but not distant spread.  Stage III vs stage IV disease.

              Stlmag
              Participant

                My husband diagnosed with Stage 3C 10/13/15 @ left chest.  Four major surgeries, 2 minor surgeries to remove recurrence + a skin graft and it keeps recurring- 4 of 5 axilla lymph nodes & now a new pos lymph node leading to the 5th major surgery. It is never ending.

                Stlmag
                Participant

                  My husband diagnosed with Stage 3C 10/13/15 @ left chest.  Four major surgeries, 2 minor surgeries to remove recurrence + a skin graft and it keeps recurring- 4 of 5 axilla lymph nodes & now a new pos lymph node leading to the 5th major surgery. It is never ending.

                  Stlmag
                  Participant

                    My husband diagnosed with Stage 3C 10/13/15 @ left chest.  Four major surgeries, 2 minor surgeries to remove recurrence + a skin graft and it keeps recurring- 4 of 5 axilla lymph nodes & now a new pos lymph node leading to the 5th major surgery. It is never ending.

                Viewing 5 reply threads
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