Possible 2nd Primary.

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  • Post
    • November 28, 2013 at 4:07 am
    Kathysue McDonald
    Participant

      Hi,  I had a 6cm punch biopsy Monday.  I've had Melanoma for 10 years.  I've progressed to stage 4.  I go to MD Anderson every six month. (Dr. Pappa )  I've been in remission for two years now.  I've done the il2 and the have the frozen t cells ready to go.  My question is: If you have a second primary in a different part of your body.  Do you start over with the wle and the snb and the 6 month interfuron plus subsiquent 6 months of self shots.  Does it kick you out of your current protocol ? I know you can't give me definite answers but I would like to hear from others who have had 2nd primarys and what they ended up doing.

      All my best !

      Kathysue

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    • Replies
        • November 28, 2013 at 6:01 am
        Janner
        Participant

          You are the stage of your "worst" primary – so you are still stage IV and a new primary really means nothing.  Yes, you would want the WLE and if you aren't doing a systemic treatment now, it is possible you'd do the SNB again (based on depth of the 2nd primary and the thoughts of your doctor).  But someone who is stage IV does not go back and do a stage III treatment (Interferon) regardless of a second primary.   Typically, a second primary is caught earlier and hopefully, the WLE is all you need.  But you need to know more about the second primary (depth, etc) to really know what the next step is.

          Best wishes,

          Janner

          • November 28, 2013 at 6:01 am
          Janner
          Participant

            You are the stage of your "worst" primary – so you are still stage IV and a new primary really means nothing.  Yes, you would want the WLE and if you aren't doing a systemic treatment now, it is possible you'd do the SNB again (based on depth of the 2nd primary and the thoughts of your doctor).  But someone who is stage IV does not go back and do a stage III treatment (Interferon) regardless of a second primary.   Typically, a second primary is caught earlier and hopefully, the WLE is all you need.  But you need to know more about the second primary (depth, etc) to really know what the next step is.

            Best wishes,

            Janner

            • November 28, 2013 at 6:01 am
            Janner
            Participant

              You are the stage of your "worst" primary – so you are still stage IV and a new primary really means nothing.  Yes, you would want the WLE and if you aren't doing a systemic treatment now, it is possible you'd do the SNB again (based on depth of the 2nd primary and the thoughts of your doctor).  But someone who is stage IV does not go back and do a stage III treatment (Interferon) regardless of a second primary.   Typically, a second primary is caught earlier and hopefully, the WLE is all you need.  But you need to know more about the second primary (depth, etc) to really know what the next step is.

              Best wishes,

              Janner

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