Request for Janner
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Request for Janner

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  • Post
    • May 14, 2015 at 3:40 pm
    mike_nj
    Participant

    Hi Janner

     

    This is MIke from NJ.   Whn the chat was active, we used to both participate regularly.

     

    I skipped my scan this year as being 3B out 10 years but plan on getting one in a few months or so.

     

    Reson for post is that my sister Patty had a recent shave biopsy of a mole on her shoulder and it came back as mm  IN SITU

    I had questions of the effect of the shave on the true assessment and I was wondering if my sister could call you to get your perspective.  She has an appointment tomorrow with a surgeon.

     

    My email is mike.kelly@churchdwight.com if you can send me your contact info.

     

    Regards,

     

    Mike Kelly

Viewing 2 reply threads
  • Replies
      • May 14, 2015 at 4:52 pm
      Janner
      Participant

      Mike, you can have your sister email me and we can go from there.  But I have absolutely no worries about a shave biopsy and a melanoma in situ diagnosis.  I've never seen a biopsy that only shaves to the epidermis level, they all penetrate into the dermis no matter how shallow.  It would be a feat to only remove the epidermis layer.  So basically, there is no way she doesn't have clean deep margins so no worry about depth related to margins.  Any shave biopsy is fine if the deep margins are clear, staging is only an issue if the lesion is transsected and again, not an issue for in situ.

      janrguard-mpip@yahoo.com

        • May 14, 2015 at 10:19 pm
        Debbieamccoy
        Participant

        I was diagnosed last week with a clark IV and Brelows depth of 7 .00 mm

        deep and pheripheral margins not involved

        Lymphatic/ perineural/angi invasion not identified

        Miotoic rate 5-10

        Associated Melanocyctic nevi not identified 

        TIL not brisk

        Ulceration preset

        I see my oncologist and surgeon next week and trying to be optomistic, my family MD questions the Breslows depth.

        Scared but not ready to buy the shovel

        • May 15, 2015 at 2:38 am
        Thandster
        Participant

        Make sure you are seeing a melanoma specialist.

        keep us updated.

        • May 15, 2015 at 2:38 am
        Thandster
        Participant

        Make sure you are seeing a melanoma specialist.

        keep us updated.

        • May 15, 2015 at 2:38 am
        Thandster
        Participant

        Make sure you are seeing a melanoma specialist.

        keep us updated.

        • May 14, 2015 at 10:19 pm
        Debbieamccoy
        Participant

        I was diagnosed last week with a clark IV and Brelows depth of 7 .00 mm

        deep and pheripheral margins not involved

        Lymphatic/ perineural/angi invasion not identified

        Miotoic rate 5-10

        Associated Melanocyctic nevi not identified 

        TIL not brisk

        Ulceration preset

        I see my oncologist and surgeon next week and trying to be optomistic, my family MD questions the Breslows depth.

        Scared but not ready to buy the shovel

        • May 14, 2015 at 10:19 pm
        Debbieamccoy
        Participant

        I was diagnosed last week with a clark IV and Brelows depth of 7 .00 mm

        deep and pheripheral margins not involved

        Lymphatic/ perineural/angi invasion not identified

        Miotoic rate 5-10

        Associated Melanocyctic nevi not identified 

        TIL not brisk

        Ulceration preset

        I see my oncologist and surgeon next week and trying to be optomistic, my family MD questions the Breslows depth.

        Scared but not ready to buy the shovel

        • May 16, 2015 at 2:33 am
        mike_nj
        Participant

        Janner

        Thanks for your comments and clearing things up for my sister Patty.

        You are a blessing for all  of us here at mpip, no matter what stage we happen to be.

        Regards

         

        Mike Kelly

        • May 16, 2015 at 2:56 am
        Janner
        Participant

        Hope things went well today and no new surprises!

        • May 16, 2015 at 2:56 am
        Janner
        Participant

        Hope things went well today and no new surprises!

        • May 16, 2015 at 2:56 am
        Janner
        Participant

        Hope things went well today and no new surprises!

        • May 16, 2015 at 2:33 am
        mike_nj
        Participant

        Janner

        Thanks for your comments and clearing things up for my sister Patty.

        You are a blessing for all  of us here at mpip, no matter what stage we happen to be.

        Regards

         

        Mike Kelly

        • May 16, 2015 at 2:33 am
        mike_nj
        Participant

        Janner

        Thanks for your comments and clearing things up for my sister Patty.

        You are a blessing for all  of us here at mpip, no matter what stage we happen to be.

        Regards

         

        Mike Kelly

      • May 14, 2015 at 4:52 pm
      Janner
      Participant

      Mike, you can have your sister email me and we can go from there.  But I have absolutely no worries about a shave biopsy and a melanoma in situ diagnosis.  I've never seen a biopsy that only shaves to the epidermis level, they all penetrate into the dermis no matter how shallow.  It would be a feat to only remove the epidermis layer.  So basically, there is no way she doesn't have clean deep margins so no worry about depth related to margins.  Any shave biopsy is fine if the deep margins are clear, staging is only an issue if the lesion is transsected and again, not an issue for in situ.

      janrguard-mpip@yahoo.com

      • May 14, 2015 at 4:52 pm
      Janner
      Participant

      Mike, you can have your sister email me and we can go from there.  But I have absolutely no worries about a shave biopsy and a melanoma in situ diagnosis.  I've never seen a biopsy that only shaves to the epidermis level, they all penetrate into the dermis no matter how shallow.  It would be a feat to only remove the epidermis layer.  So basically, there is no way she doesn't have clean deep margins so no worry about depth related to margins.  Any shave biopsy is fine if the deep margins are clear, staging is only an issue if the lesion is transsected and again, not an issue for in situ.

      janrguard-mpip@yahoo.com

Viewing 2 reply threads

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