› Forums › Cutaneous Melanoma Community › SLNB and WLE Surgery Tomorrow (2/25) — malignant melanoma
- This topic has 7 replies, 7 voices, and was last updated 5 years, 2 months ago by jbronicki.
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- February 24, 2019 at 6:55 pm
Me, 54 year old male. Mid-December 2018, a large mole on the back of my upper-left arm started bleeding. My daughter, who was home visiting for Christmas convinced me to finally get it checked. After the holidays had passed (Christmas, my birthday, wife's birthday, our anniversary) I decided to make the appointment with a dermatologist. That happened on February 6th. After full-body examination and local anesthetic, after removing the scabbing, the doctor took out a 2cm (yes, 3/4-inch) mole and sent it for analysis by a dermatopathologist. A week later, results came back. It's a malignant melanoma of 4.3mm Breslow thickness, with ulceration and lymphovascular invasion, 5 mitoses/mm2, primary classification pT4b.
She referred me to a melanoma surgeon for consult and further treatment. Met with him on February 15th. Plan is to do a sentinal lymph node biopsy tomorrow (2/25), and remove about a 2-1/2 inch circle on my arm, then do a skin graft from my thigh to my arm. Depending on the outcome of the SLNB, chances are looking high that I'll be meeting an oncologist next to talk about the next steps.
Suddenly, I'm totally preoccupied with learning more than I ever wanted to know about melanoma, and at the same time growing more and more nervous about the future. All of the sudden, everything else in life has shifted to the back burner. Looking forward to learning more here, hearing everyone's stories of victory, and commiserating on the challenges.
Papa Chris
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- February 24, 2019 at 7:34 pm
Papa Chris, sorry to hear that you're going through this, but glad you found this excellent group. Getting yourself a melanoma surgeon was a smart move. Know that some of the data online is out of date and doesn't reflect some of the progress from recently approved medications. Read a lot here and keep us posted.
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- February 24, 2019 at 10:26 pm
I'll be keeping you in my thoughts tomorrow. If you need to find an oncologist, please be sure to get one who specializes in Melanoma. The treatments are advancing so quickly that regular oncologists can have a hard time keeping up with them.
Good luck,
Ann
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- February 25, 2019 at 2:51 am
Papa Chris-I was in your exact position 6 years ago-mela-what? Bad news-it’s scary and confusing. The good news-we have you on this. First things first-where do you live?-let us know what city you are near-odds are someone on here goes to that melanoma doctor. Not all oncologists are melanoma specialists and some that say they are-are not-the hospital gives them that title because the onc read a paper about melanoma ten years ago. You are about to go headlong into a wrestling match with a killer cancer and you don’t want to go to the “jiffy lube” docs. Key things to listen for when choosing your doctor if they say “interferon”-run. I would recommend the big three I know of-mayo clinic, Sloan Kettering, md Anderson. There are others and I’m sure fellow mels will chime in once we find out where you are at. I had Mel on my forearm-bled-mitosis was 4-macromet to my right armpit lymph node-3b. Surgery and then NED for last 6 years. keep the questions coming and research. The best thing you can do is find a good doc-that takes all the pressure off you. Godspeed fellow warrior!
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- February 25, 2019 at 3:25 pm
Hi Chris, welcome to a great community, although sorry for the reason you have to be here. My original melanoma was in the same spot as yours, an ulcerated nevus on the outside of my left elbow. All I can tell you is to take things one step at at time. Get the most information you can (and don't believe anything you read if it is more than three years old), find the best doctors you can, and ask as many questions as you can think of.
Good luck,
-Rich
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- February 25, 2019 at 4:35 pm
Wishing you good luck today Papa Chris. My husband was in the same exact spot 5 years ago. His was 22 mm (large) and mitotic rate of 8, etc etc. You'll get that thing out today and wishing you clear margins and no spread. Depending on the information you get after that (SNLB, etc) , we are here for you.
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Tagged: cutaneous melanoma
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