Hi all. I was diagnosed 3 and a half years ago with a Lenigo Maligna/ melanoma in situ close to the sternum of my chest. I was 34 years old. Had a WLE done with clear margins. When I got home and looked at this awful long scar It had a few freckles that were close to the scar and one that touched the scar a little. I have freckles on my chest already most of them small and patchy so figured that its just from where the skin was pulled together and it just so happens to have freckles around it. I have regular skin checks every 6 months with no issues or concerns. Ive kept a watch on these freckles close to the scar and the one that runs over the scar a bit. Nothing looked unusual or changed from what I saw.. During my recent 6 month skin check my dermatologist said she just wanted to remove that as one side looked a bit darker and that wasnt there 6 months ago. She said she wasnt concerend and was fairly sure that it was normal pigment change on the freckle on a scar which she said was common but would rather just remove it. My question is that if this happens to end up being Melanoma again would this be considered a local recurrance or a new primary? With this freckle being there from day one of my WLE of my MIS would that mean recurrance immediatly following WLE 3 and a half years ago or a new primary since the freckle was there already? Can a recurrance of the MIS happen in a different mole or freckle from the previous melanoma? I think had this freckle not been there from the time of previous WLE surgery that I would say a recurrance if the spot was new but snce its been there I dont know. Would love others thoughts on this issue and to hear if anyone had a similar expierence. Thanks so much. Have a blessed day.
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