Melanoma In situ

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    speedrider
    Participant

      I was diagnosed with Melanoma in situ under my left thumb nail. I went to my PCP August 30th, 2016 and showed her my nail. It was brown along th right side of the nail. She said it was nothing. I then had an appointment with my dermatologist the next day Sept 1st for a full body check. She never said anyting about my nail, and I did not mention it because mt PCP said it was nothing. About a month later October, I decided to google to find out what vitimin I was defitiant in  to have brown nail, and was reading all about brown stripes on nail could be melanoma. I emailed my dermatologist to question this. She said I should come in and have a biopsy. They made me an appointment 2 weeks later  They diid the biopsy, and it was positive for melonoma In situ. She referred me to Moffitt. Moffitt looked at the pathology and agreed that it was In situ. I had my surgery January 6th. They removed the nail bed and skin grafted. I went back for the results of the pathology, and they said I still had In situ, and .6 mm malignant melonoma. I went back for second surgery, and they removed everything up to the knuckle.  they then said it was clear. I'm just wondering if the dermatologist had caught it September 1st instead of November 21st, if I could have had a better outcome. I can't bend the thumb anymore, and the surgeon said I probably will not get much movement back. Aso, is there any precautions I should take? I am now on 3 month checkups. Should I change dermatologists being that she did not catch this when she should have? It seems to me if you go to a dermatologist for a full body check, they should check everything.

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        jennunicorn
        Participant

          The outcome would have been the same whether you went in Sept vs Nov. The best part of all of this is it was in situ.. so it has no way of spreading to any other area of your body. You might want to find a dermatologist that specializes in skin cancer, they may be a bit more thorough in their skin checks.

          stars
          Participant

            If I'm reading correctly, what was first diagnosed as insitu turned out to be invasive (0.6mm) resulting in the loss of part of your thumb.  It's really poor form that your dermatologist missed one of the most obvious presentations of melanoma (on the nail bed). I don't think the time delay makes much difference to your prognosis BUT it does suggest you need a derm who is a bit more thorough. If it was marked enough for you to notice it, then it was definitely marked enough for your derm to notice during this so-called 'full body check'. I'd be getting a new derm. And informing that PCP that they were absolutely wrong with thier 'it's nothing' comment – actually I'd put that one in writing so that whole team is cautioned about melanoma in the nail bed.

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