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Thank you all…I think I am OK now!

Forums Cutaneous Melanoma Community Thank you all…I think I am OK now!

  • Post
    rgrand
    Participant

      I am on the mend for my foot skin graft. Looks like my body has decided to slough off the outer layers of the epidermis. My surgeon is "cautiously optimistic" that the deeper layers of skin in the full thickness skin graft are healthy and will grow new skin layers to replace the sloughing skin.

      Initially my punch biopsy indicated a Breslow depth of 0.4mm and a Clark level II.

      Long story short, I think they removed all my cancer and it doesn't appear to have spread anywhere. For those interested, here's through path report:

      FINAL PATHOLOGIC DIAGNOSIS
      A. SENTINEL LYMPH NODE, RIGHT INGUINAL, SENTINEL LYMPH NODE
DISSECTION
– NEGATIVE FOR MALIGNANCY IN ONE LYMPH NODE
      B. SKIN, RIGHT PLANTAR FOOT, EXCISION 
– MALIGNANT MELANOMA, ACRAL TYPE, COMPLETELY EXCISED, SEE
COMMENT
      — BRESLOW DEPTH: 1.03 MM
      — CLARK LEVEL: III
      — HOST RESPONSE: PRESENT, NON-BRISK
      — REGRESSION: NEGATIVE
      — MITOSES COUNT PER 1 MM2: 1
      — SATELLITOSIS: NEGATIVE
      
– ANGIOLYMPHATIC INVOLVEMENT: NEGATIVE
      
– PERINEURAL INVASION: NEGATIVE 
      
– ULCERATION: NEGATIVE
      
– SURGICAL MARGINS: PERIPHERAL AND DEEP MARGINS ARE
NEGATIVE
      
– PATHOLOGIC STAGE:pT2aN0
      JOHN FITZGERALD KUNKEL M.D.

      ** Report Electronically Signed by JFK **
Comment
The melanoma exhibits a spindle morphology. Breslow depth is
ascertained on the Melan A stained section.
      Microscopic Description
Hematoxylin and eosin sections of the sentinel lymph node are
negative for metastatic melanoma. Further, immunohistochemistry
stains, S100 protein and melan A are negative for metastatic
melanoma. 

       
      Thank you all for the support and help. I wish you all the best outcomes possible and will check in from time to time. I will also contribute to the MRF and continue to point others to the website for useful info.
       
      i hope to see continued success on all the trials taking place and send all my good thoughts and positive healing vibes!
    Viewing 8 reply threads
    • Replies
        hbecker
        Participant

          Thanks for sharing your good news. Best wishes for speedy healing!

          Hazel

          hbecker
          Participant

            Thanks for sharing your good news. Best wishes for speedy healing!

            Hazel

            hbecker
            Participant

              Thanks for sharing your good news. Best wishes for speedy healing!

              Hazel

              BrianP
              Participant

                Congrats on the positive news. 

                BrianP
                Participant

                  Congrats on the positive news. 

                  BrianP
                  Participant

                    Congrats on the positive news. 

                    JerryfromFauq
                    Participant

                      So very happy for you.

                      JerryfromFauq
                      Participant

                        So very happy for you.

                          Treadlightly
                          Participant

                            Hi Robert,

                            I am so glad to hear your good news. Your path report looks as positive as it could be…no ulceration, clean margins, low mitotic rate, and no sign of spreading into lymphatic or neurologic systems.

                            You will be up on your feet before you know it…doing all of the things you want to do.

                            Best of luck for a long, healthy, and prosperous life!

                            Mark from California

                             

                            Treadlightly
                            Participant

                              Hi Robert,

                              I am so glad to hear your good news. Your path report looks as positive as it could be…no ulceration, clean margins, low mitotic rate, and no sign of spreading into lymphatic or neurologic systems.

                              You will be up on your feet before you know it…doing all of the things you want to do.

                              Best of luck for a long, healthy, and prosperous life!

                              Mark from California

                               

                              rgrand
                              Participant

                                Thank you, Mark, and everyone else. It was especially helpful to talk with you over the phone, Mark. Thank you for that.

                                In meeting with my plastic surgeon this week he told me that he is in group discussion with all the other doctors who worked on me. I guess they all out their heads together on stuff like this. When they did the excisement  on the foot tissue, the surgeon based the margin width on the 0.4mm punch biopsy depth and gave me a 1cm margin. Well, the final biopsy was for a depth of 1.03 mm. He informed me that for that depth they would normally take a 2cm margin. The margin was clear on it though. So we discussed it and rather than going back in and removing more skin at this time we are going to set up regular visits to dermatology to keep an eye on it, and every bit of my skin, to monitor it. Does this seem like a reasonable approach?

                                My full thickness graft did not take as well as we had hoped. I'm currently shedding the epidermal layers but it appears that ther dermis layer below are, hopefully, surviving. There may be a few patches that will require either more time, or a split thickness graft from my thigh to fix. We will know more in another week or so.

                                My heart breaks reading the worse outcome of others in this forum. I know my survival rate is good now, but melanoma is a nasty beast that can rear its insidious microscopically initiated head at any time once you have been bitten by this beast. So I will be paying close attention to my body.

                                I will keep sending positive thoughts to all. Thank you.

                                 

                                 

                                rgrand
                                Participant

                                  Thank you, Mark, and everyone else. It was especially helpful to talk with you over the phone, Mark. Thank you for that.

                                  In meeting with my plastic surgeon this week he told me that he is in group discussion with all the other doctors who worked on me. I guess they all out their heads together on stuff like this. When they did the excisement  on the foot tissue, the surgeon based the margin width on the 0.4mm punch biopsy depth and gave me a 1cm margin. Well, the final biopsy was for a depth of 1.03 mm. He informed me that for that depth they would normally take a 2cm margin. The margin was clear on it though. So we discussed it and rather than going back in and removing more skin at this time we are going to set up regular visits to dermatology to keep an eye on it, and every bit of my skin, to monitor it. Does this seem like a reasonable approach?

                                  My full thickness graft did not take as well as we had hoped. I'm currently shedding the epidermal layers but it appears that ther dermis layer below are, hopefully, surviving. There may be a few patches that will require either more time, or a split thickness graft from my thigh to fix. We will know more in another week or so.

                                  My heart breaks reading the worse outcome of others in this forum. I know my survival rate is good now, but melanoma is a nasty beast that can rear its insidious microscopically initiated head at any time once you have been bitten by this beast. So I will be paying close attention to my body.

                                  I will keep sending positive thoughts to all. Thank you.

                                   

                                   

                                  rgrand
                                  Participant

                                    Thank you, Mark, and everyone else. It was especially helpful to talk with you over the phone, Mark. Thank you for that.

                                    In meeting with my plastic surgeon this week he told me that he is in group discussion with all the other doctors who worked on me. I guess they all out their heads together on stuff like this. When they did the excisement  on the foot tissue, the surgeon based the margin width on the 0.4mm punch biopsy depth and gave me a 1cm margin. Well, the final biopsy was for a depth of 1.03 mm. He informed me that for that depth they would normally take a 2cm margin. The margin was clear on it though. So we discussed it and rather than going back in and removing more skin at this time we are going to set up regular visits to dermatology to keep an eye on it, and every bit of my skin, to monitor it. Does this seem like a reasonable approach?

                                    My full thickness graft did not take as well as we had hoped. I'm currently shedding the epidermal layers but it appears that ther dermis layer below are, hopefully, surviving. There may be a few patches that will require either more time, or a split thickness graft from my thigh to fix. We will know more in another week or so.

                                    My heart breaks reading the worse outcome of others in this forum. I know my survival rate is good now, but melanoma is a nasty beast that can rear its insidious microscopically initiated head at any time once you have been bitten by this beast. So I will be paying close attention to my body.

                                    I will keep sending positive thoughts to all. Thank you.

                                     

                                     

                                    Treadlightly
                                    Participant

                                      Hi Robert,

                                      I am so glad to hear your good news. Your path report looks as positive as it could be…no ulceration, clean margins, low mitotic rate, and no sign of spreading into lymphatic or neurologic systems.

                                      You will be up on your feet before you know it…doing all of the things you want to do.

                                      Best of luck for a long, healthy, and prosperous life!

                                      Mark from California

                                       

                                    JerryfromFauq
                                    Participant

                                      So very happy for you.

                                  Viewing 8 reply threads
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