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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 [email protected] 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.

          [email protected]

            • 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.

                                    [email protected]

                                    • 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.

                                      [email protected]

                                  Viewing 2 reply threads

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