Newly Diagnosed

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  • Post
    ksmur
    Participant

      Hi everyone,

      Hi everyone,

      Just yesterday I was diagnosed with malignant melanoma. The pathology report said it was the superficial spreading type, was not ulcerated, had a Breslow thickness of 0.28 mm, Clark's Level of 2, only radial growth phase present (no vertical), and a mitotic rate of 0. Overall, I was diagnosed with T1a. The report then went on to mention that a re-excision of the site with appropriate margins would be necessary. I was wondering what exactly this all means since I have yet to receive a phone call from my doctor explaining everything. Thank you everyone for your help and I hope that everyone is doing well!

    Viewing 5 reply threads
    • Replies
        Janner
        Participant

          The re-excision is called a WLE – wide local excision.  This is standard protocol for melanoma.  The goal is to remove the entire lesion AND get additional clear margins.  For a stage IA lesion, that means 1cm margins around the entire lesion.  This will mean a bigger scar than what you have now – probably several inches.  They have to make the incision elliptical shaped in order to close the wound. 

          Your lesion is considered very low risk.  After the WLE, you will just have periodic followups with the derm – mainly to watch for other moles that might be changing.  Your risk for getting another melanoma primary runs about 8% which is higher than the risk for a recurrence from the melanoma you just had removed.

          Sorry you had to join us here, but your low risk lesion is a good place to be.

          Best wishes,

          Janner

            ksmur
            Participant

              Thank you Janner for the information. Being recently diagnosed and not yet hearing from the doctor regarding next steps has definitely boosted my anxiety. Thank you again and best wishes to you as well!

              ksmur
              Participant

                Thank you Janner for the information. Being recently diagnosed and not yet hearing from the doctor regarding next steps has definitely boosted my anxiety. Thank you again and best wishes to you as well!

                ksmur
                Participant

                  Thank you Janner for the information. Being recently diagnosed and not yet hearing from the doctor regarding next steps has definitely boosted my anxiety. Thank you again and best wishes to you as well!

                Janner
                Participant

                  The re-excision is called a WLE – wide local excision.  This is standard protocol for melanoma.  The goal is to remove the entire lesion AND get additional clear margins.  For a stage IA lesion, that means 1cm margins around the entire lesion.  This will mean a bigger scar than what you have now – probably several inches.  They have to make the incision elliptical shaped in order to close the wound. 

                  Your lesion is considered very low risk.  After the WLE, you will just have periodic followups with the derm – mainly to watch for other moles that might be changing.  Your risk for getting another melanoma primary runs about 8% which is higher than the risk for a recurrence from the melanoma you just had removed.

                  Sorry you had to join us here, but your low risk lesion is a good place to be.

                  Best wishes,

                  Janner

                  Janner
                  Participant

                    The re-excision is called a WLE – wide local excision.  This is standard protocol for melanoma.  The goal is to remove the entire lesion AND get additional clear margins.  For a stage IA lesion, that means 1cm margins around the entire lesion.  This will mean a bigger scar than what you have now – probably several inches.  They have to make the incision elliptical shaped in order to close the wound. 

                    Your lesion is considered very low risk.  After the WLE, you will just have periodic followups with the derm – mainly to watch for other moles that might be changing.  Your risk for getting another melanoma primary runs about 8% which is higher than the risk for a recurrence from the melanoma you just had removed.

                    Sorry you had to join us here, but your low risk lesion is a good place to be.

                    Best wishes,

                    Janner

                    natasha
                    Participant

                      Hi!

                      I was diagnosed with exatcly the same pathology in beginning of January .

                      I had a surgery to remove more skin around melanoma and I have only 5 cm scar now.

                      I am on follow up every 3 month for 1 year and if it's fine ,I am off.

                      No vertical growth phase  and 0 mitotic is very very good ,it  is similiar to in-situ melanoma characteristics.

                      I hope you will be fine and live long happy life

                      How old are you ?

                      It is a bit higher risk if person is 60+ ,but still not so serious with you pathology!

                      Good luck!

                      natasha
                      Participant

                        Hi!

                        I was diagnosed with exatcly the same pathology in beginning of January .

                        I had a surgery to remove more skin around melanoma and I have only 5 cm scar now.

                        I am on follow up every 3 month for 1 year and if it's fine ,I am off.

                        No vertical growth phase  and 0 mitotic is very very good ,it  is similiar to in-situ melanoma characteristics.

                        I hope you will be fine and live long happy life

                        How old are you ?

                        It is a bit higher risk if person is 60+ ,but still not so serious with you pathology!

                        Good luck!

                        natasha
                        Participant

                          Hi!

                          I was diagnosed with exatcly the same pathology in beginning of January .

                          I had a surgery to remove more skin around melanoma and I have only 5 cm scar now.

                          I am on follow up every 3 month for 1 year and if it's fine ,I am off.

                          No vertical growth phase  and 0 mitotic is very very good ,it  is similiar to in-situ melanoma characteristics.

                          I hope you will be fine and live long happy life

                          How old are you ?

                          It is a bit higher risk if person is 60+ ,but still not so serious with you pathology!

                          Good luck!

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