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Specialist or regular derm for WLE?

Forums Cutaneous Melanoma Community Specialist or regular derm for WLE?

  • Post
    MeganD
    Participant
      I need a WLE for a thin melanoma.

      My regular derm says he can do the WLE. but I’ve heard going to a specialist who does this day in and day out might be a smarter way of going.

      I’d love to hear thoughts on this.

      Thank you.

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    • Replies
        ThinkingPositive
        Participant
          Cutaneous
          Hi MeganD,

          According to https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6116825/, dermatologists are the primary physicians managing patients with thin melanomas. I gather you are not being referred for a sentinel lymph node (SLN) biopsy as nodal involvement is rare for thin (≤1 mm) primary melanoma.

          Its fine to ask your dermatologist how often they treat thin melanomas.  A consideration is location of the lesion. If it is on the face, for example, a plastic surgeon specializing in melanoma would be worth asking about.

          Best wishes!

          Cindy

          tkoss
          Participant
            my derm basically told me he doesn’t do surgery if it reaches the dermis.

             

            you want to get all the melanoma, beyond the margins.

             

            my wle required anesthesia and I used an oncological surgeon who understood surgery and cancer.

             

            if you have a choice, why not go with the best available?

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