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Thanks… I appreciate the answers.  All of that makes sense.  That was my assummption as well.  I will ask the question at my follow-up and see if that makes sense for another look.  But either way, I will have them do the wide local excision with 1cm margins to be extra safe which I assume they would do anyway if it was pre-cancerous.  Couple of last questions… should I be concerned with the Clarks level of III?  I know depth is the most important but I think i remember seeing Clark's level can be important if depth is under 1mm?  Also, should I have any concerns the initial biospy was a shave biopsy?  Or do the melanoma free margins ensure an initial proper depth measurement was obtained?  Only reason I ask if I thought I saw that a shave biopsy if usually not preferred if melanoma is suspected?

Thanks again!

Thanks… I appreciate the answers.  All of that makes sense.  That was my assummption as well.  I will ask the question at my follow-up and see if that makes sense for another look.  But either way, I will have them do the wide local excision with 1cm margins to be extra safe which I assume they would do anyway if it was pre-cancerous.  Couple of last questions… should I be concerned with the Clarks level of III?  I know depth is the most important but I think i remember seeing Clark's level can be important if depth is under 1mm?  Also, should I have any concerns the initial biospy was a shave biopsy?  Or do the melanoma free margins ensure an initial proper depth measurement was obtained?  Only reason I ask if I thought I saw that a shave biopsy if usually not preferred if melanoma is suspected?

Thanks again!

Thanks… I appreciate the answers.  All of that makes sense.  That was my assummption as well.  I will ask the question at my follow-up and see if that makes sense for another look.  But either way, I will have them do the wide local excision with 1cm margins to be extra safe which I assume they would do anyway if it was pre-cancerous.  Couple of last questions… should I be concerned with the Clarks level of III?  I know depth is the most important but I think i remember seeing Clark's level can be important if depth is under 1mm?  Also, should I have any concerns the initial biospy was a shave biopsy?  Or do the melanoma free margins ensure an initial proper depth measurement was obtained?  Only reason I ask if I thought I saw that a shave biopsy if usually not preferred if melanoma is suspected?

Thanks again!