› Forums › Cutaneous Melanoma Community › Sentinel Node Biopsy
- This topic has 10 replies, 7 voices, and was last updated 6 years, 2 months ago by kst.
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- February 28, 2018 at 2:55 pm
HI everyone-
I am new to this site as far as posting, but I have been reading one's posts for over a month trying to soak up knowledge! I was diagnosed with Melanoma a few months ago- Dec 1, 2018, to be exact. It's funny but you remember dates like those. I was shocked and broke down so much those first few weeks. Then I went on a rampage of digging to understand this. Afterall, Melanoma is so misunderstood. People take skin cancer so mildly. Anyways, my anger today results from how my General Surgeon handled my case. Unfortunatley, I did not go to a cancer center at first. I had a punch biopsy in Nov,2018 from my G.P., which led to the diagnosis. Afterwards, on Dec 12th I was directed to a General Surgeon (did not specialize in Mel). He said initially that after looking at the 1st path report that he wants to do two procedures: SNB and wide excision. You see, I was .76mm Breslow and Clark level 3 with Mito at 1/ he thought it would be good to do the snb. I had already done some research and agreed (even though I was in that phase of .76 borderline for snb. Moving now to Jan 18th 2018…day of surgeries. To my surprise, as I lay in the hospital room with I.V.'s in my arm an hour before surgery, the nurse informed my that only ONE procedure was on the books for me- just the Wide excision! I was dumbfounded to say the least. I knew the chances were not great that it had moved into my lymph nodes, but we were going to make sure! My surgeon entered the rrom 5 min prior to surgery time and was not even going to tell me of the change of plans! I also knew that the SNB should be done PRIOR to the WLE. But i let him do the surgery …12 days later I get the call on my path report: it was twice the depth (breslow)…now it is 1.6mm, with a Clark Level 4 !! They said he now wants to do a SNB. I said NO and that I wanted a copy of my path report NOW. So, here we are today, knowing that the mapping part of the SNB could be screwed up because he did the WLE first. But I called Siteman Cancer Center in ST Louis,MO and in two days I will see the leading researcher and surgical oncologist there. He is the tops. I am thrilled to say the least! He is doing his own path report and I will talk and set in motion with him the next steps. Really, I have not even been staged yet- Just 1B according to latest, without doing the SNB. I have been encouraged to learn of so many of you that are doing research to become your own advocate in this fight! We have to! And keep doing it- keep up with the latest developments! And THANK YOU all for being on this site, so now I can recieve much needed encouragment and hope to give some back as well! ((HUGS))!!
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- February 28, 2018 at 7:15 pm
Oh my wow does your story sound familiar. I wasn't smart, nor diligent, nor concerned, enough to find a specialist until I woke up on the floor at work after having suffered a seizure. My welcome to stage IV. Kudos to you for taking action sooner and taking some control!
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- February 28, 2018 at 10:55 pm
Thank you- everything about this diagnosis is scary, and I'm sure much more for you!! I'm hoping you have found some resolve with yours…
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- March 1, 2018 at 6:09 pm
Thankfully, the stage IV was a smack with the reality stick, and my husband was quick enough to pounce on specialist treatment for me. Stage IV with brain and lung mets in April 2013… all clear now, with the exception of one 3mm bit of "dead meat" that we're keeping eyes on in the brain. If not for specialist care, I'd certainly no longer be here. I can think of three very specific turning points. Getting into a specialists hands from the get go…. THAT is the wise move if one can battle their insurance and make it happen!
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- March 1, 2018 at 3:01 am
Lori, rest assured you are doing the right thing going to a melanoma specialist for surgery. You will be in good hands from now on. ~ Carol
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- March 1, 2018 at 12:37 pm
Thank you…everyday it's hard to focus. It's like this "C" thing consumes your thoughts. Having trouble sleeping this week esp and I wake up with my mind on cancer. And go to bed the same way. I'm hoping to move past this kind of behavior…
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- March 3, 2018 at 3:05 pm
Lori, not only do you have the shock, fear and runaway imagination everyone (and family) grapples with, you have the extra layer of non-optimal treatment. And that is *not* your fault. Doctors should know what they don't know, and refer you to specialists. But the good – no, great news is you're now in terrific hands. And you have this community, which has already been so generous with guidance and support to me and my husband.
(My husband had three SLNBs, a WLE, and skin flap by a plastic surgeon yesterday.)
Hang in there.
Beth
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- March 3, 2018 at 4:49 pm
Lori, similar story…my surgeon didn’t think my melanoma was very deep so only a wide excision was done. It ended up being .93, Clark level IV, stage1b, which is borderline for having a SNB. I went for a second opinion to a dermatology center and was advised that the surgery risks were too high to have a SNB, since there is no way to know the actual nodes that were closest to the melanoma. Everything has been moved around and even if it showed no melanoma in the nodes, who know if it was actually the node that was the closest to the site. Please keep us updated, as I am curious what you will learn from your visit. Thanks for sharing!
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- March 3, 2018 at 4:52 pm
Lori, similar story…my surgeon didn’t think my melanoma was very deep so only a wide excision was done. It ended up being .93, Clark level IV, stage1b, which is borderline for having a SNB. I went for a second opinion to a dermatology center and was advised that the surgery risks were too high to have a SNB, since there is no way to know the actual nodes that were closest to the melanoma. Everything has been moved around and even if it showed no melanoma in the nodes, who knows if it was actually the node that was the closest to the site. Please keep us updated, as I am curious what you will learn from your visit. Thanks for sharing!
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- March 13, 2018 at 1:36 am
I had surgery on Feb. 2 for a 1.1mm (Stage 2b) melanoma on my upper mid-thigh. General surgeon is very experienced doing cancer surgery. He performed a wide excision and SNB. Sentinal node was clear of any signs of cancer cells. (very lucky me!) However, at the site of the lymph node biopsy I now have a egg shaped bump that gets bigger as the day goes on. I feel very fortunate that the melanoma had not spread further, but just would like to know if anyone else has a "goose egg" bump where their SNB was done, and if this will eventually disappear, as it really is quite ugly to look at, together with my "shark bite" thigh! Also, my leg is still rather sore, and quite numb on the upper surface of my thigh from the bottom of the incision to my knee. Look forward to hearing from someone. I am new to the site.
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Tagged: cutaneous melanoma
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