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MmP15
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MmP15

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      • March 19, 2017 at 5:46 pm
      MmP15
      Participant
        I would try narrowing in prospective risk of relapse, using prognostic tests such as MelaGenix or DecisionDx, then decide to go for adjuvant trial or not.
        • April 23, 2017 at 2:50 pm
        MmP15
        Participant
          Currently, there are two different tests available that narrow in long term risk based on strength of certain genes measured
          • April 19, 2017 at 1:42 pm
          MmP15
          Participant
            SNB would have given you peace of mind. Now you can still go for some genetic risk assessment using the excised tumor tissue. Also regular ultrasound to evaluate lymph nodes. Best wishes!
            • April 19, 2017 at 1:10 pm
            MmP15
            Participant
              I agree a specialist is key to decision making. CLND so far has not been shown to be life saving. It may not even prevent spread to other organs. My advice is to go for some of the prognostic tests looking at individual genetic risks. Would be all different if CLND makes you tumor free. Melanoma unfortunately often uses blood stream for progression.
              • April 18, 2017 at 12:28 pm
              MmP15
              Participant
                Just picked up your story, from my experience, I would expect two thirds false positive SNL micromets, so be cautious regarding Yervoy and its toxicity, go for 2nd opinion and more tests to narrow in risk
                • April 18, 2017 at 12:27 pm
                MmP15
                Participant
                  Just picked up your story, from my experience, I would expect two thirds false positive SNL micromets, so be cautious regarding Yervoy and its toxicity, go for 2nd opinion and more tests to narrow un risk
                  • April 18, 2017 at 12:26 pm
                  MmP15
                  Participant
                    Just picked up your story, from my experience, I would expect two thirds false positive SNL micromets, so be cautious regarding Yervoy and its toxicity, go for 2nd opinion and more tests to narrow un risk
                    • April 15, 2017 at 6:23 pm
                    MmP15
                    Participant
                      Would certainly get SLNB, after all SLNB will most likely be clear, if not 2nd opinion is crucial because of possibility of false positive SLNB, potentially leading in wrong direction
                      • March 19, 2017 at 6:12 pm
                      MmP15
                      Participant
                        No marketing, also no standard care yet, but these genetic tests are non-invasive, sole option to look deeper into biology especially metastatic potential
                        • March 18, 2017 at 6:18 pm
                        MmP15
                        Participant
                          I think its best to grab as much prognostic information as possible upfront, including gene tests, since it needs to be cured. May try DecisionDx or MelaGenix along with sentinel node biopsy.
                          • March 18, 2017 at 6:11 pm
                          MmP15
                          Participant
                            Sooo much going on. Recently saw MelaGenix 2nd generation gene expression test.
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