› Forums › General Melanoma Community › palpable lymph nodes near surgical site
- This topic has 6 replies, 2 voices, and was last updated 13 years, 1 month ago by
Janner.
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- December 24, 2012 at 6:12 am
Hi there
I am new here.
I was diagnosed w. Melanoma in situ 10 days ago, on my neck and was able to have a wide excision done the same day. The margins came back clear.
So I thought phew….
well 10 days later, I just happened to feel a palpable lymph node the size of a pea in my posterior cervical lymph nodes. This is just 2cm or so away from the edge of my incision.
I am so nervous ;/
My derm said to wait it out a few wks
Hi there
I am new here.
I was diagnosed w. Melanoma in situ 10 days ago, on my neck and was able to have a wide excision done the same day. The margins came back clear.
So I thought phew….
well 10 days later, I just happened to feel a palpable lymph node the size of a pea in my posterior cervical lymph nodes. This is just 2cm or so away from the edge of my incision.
I am so nervous ;/
My derm said to wait it out a few wks
I chose to go ahead and see my family dr and a gen surgeon who I have seen once prior for unrelated issue. I will be seeing them both next Thursday (27th Dec) I have a huge deductible, so I also wanted to get these appts taken care of as deductible was met, but who am I kidding, I am getting seen b.c I want to be thorough and I want to get it biopsied if need be….
I am not sure of what my questions are…
Does anyone think I am jumping the gun? I have 2 tots at home, I really feel like I want to nip this in the bud ASAP. I also am not sure what I am wanting the drs to tell me this Thurs? It seems so sketchy to me that it is so close to surgical site and to be palpable…I understand that it could be from post-op recovery from the MIS surgery/excision. But I just am not sure…..Should I be thinking I will have it biopsied? or a scan? I have heard they can do CT scans? I am allergic to iodine, which means I couldn't use contrast, so I am not sure I could have that done. What is the lymph biopsy like? Is there risk of spread when they remove the node? or risk of lymphedema locally?? I'm sorry for all the Qs, thought a patient perpsective would help me to think more clearly…
Anyone heard of this happening with MIS? I know I am supposed to be happy that I was in the 99% clear range and I totally was until I accidentally felt this lymph node. I have never felt a palpable post cervical node prior, I def have felt ant. cervical w. sore throat or allergies/sinus issues etc…
Thank you for taking the time to read
Any advice would be appreciated
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- December 24, 2012 at 12:54 pm
In situ rarely spreads, so i’d try not to worry too much (yes, i know, easy to say, not to easy to do). Good for you for getting it checked out. Most likely it is in response to the excision, or even just a virus. Lymph nodes become enlarged when they’re fighting something off…maybe there’s a slight infection from the incision? As for the actual biopsy, my husband had a biopsy of a node in his neck…his surgeon did it in the office..not a huge deal they numbed the area around it. It took a few days to get the results. He was already stage 4 and had multiple surgeries, so his surgeon got him in right away and we assumed it was a reoccurrence, but my stubborn hubby was in denial:). Anyway, I’d start with the biopsy and see what is shows. If it shows no cancer, then count your blessings:) If it does show something, they’ll probably do a PETscan to see if it’s spread elsewhere. -
- December 24, 2012 at 12:54 pm
In situ rarely spreads, so i’d try not to worry too much (yes, i know, easy to say, not to easy to do). Good for you for getting it checked out. Most likely it is in response to the excision, or even just a virus. Lymph nodes become enlarged when they’re fighting something off…maybe there’s a slight infection from the incision? As for the actual biopsy, my husband had a biopsy of a node in his neck…his surgeon did it in the office..not a huge deal they numbed the area around it. It took a few days to get the results. He was already stage 4 and had multiple surgeries, so his surgeon got him in right away and we assumed it was a reoccurrence, but my stubborn hubby was in denial:). Anyway, I’d start with the biopsy and see what is shows. If it shows no cancer, then count your blessings:) If it does show something, they’ll probably do a PETscan to see if it’s spread elsewhere. -
- December 24, 2012 at 12:54 pm
In situ rarely spreads, so i’d try not to worry too much (yes, i know, easy to say, not to easy to do). Good for you for getting it checked out. Most likely it is in response to the excision, or even just a virus. Lymph nodes become enlarged when they’re fighting something off…maybe there’s a slight infection from the incision? As for the actual biopsy, my husband had a biopsy of a node in his neck…his surgeon did it in the office..not a huge deal they numbed the area around it. It took a few days to get the results. He was already stage 4 and had multiple surgeries, so his surgeon got him in right away and we assumed it was a reoccurrence, but my stubborn hubby was in denial:). Anyway, I’d start with the biopsy and see what is shows. If it shows no cancer, then count your blessings:) If it does show something, they’ll probably do a PETscan to see if it’s spread elsewhere. -
- December 24, 2012 at 1:25 pm
Your surgery was 10 days ago? Even a surgery for melanoma in situ is an "insult" to the body. It is VERY COMMON to have lymph nodes swell after surgery. MIS has close to a 100% cure rate – mainly because it lacks any way to spread. Being confined to the epidermis means there are no lymph or blood vessels available for it to go anywhere. Those vessels are located much deeper in the skin. In addition, it is extremely rare to have a palpable node show up containing disease that quickly even if you had a much deeper lesion. The standard protocol for an enlarged node would be to take some type of antibiotics first – and that is only if you didn't have some more obvious reason for the enlargement. You do: surgery.. They aren't going to biopsy this thing at this point in time and personally, I think you are jumping the gun and this is surgery related. I will give you one warning, though. Constantly "playing" with the node could cause it to become a "reactive node". These are nodes that enlarge for some normal reason, but do not return to their normal size later. Normally enlarged lymph nodes can take weeks to months to return to their normal small size. Even though MIS doesn't take huge margins, it is still surgery, it still takes tissue down to the muscle fascia and it still is traumatic to the body. Let yourself heal. Give it some time and stop playing with the node. It is VERY common to be anxious after a diagnoses – even MIS. It takes time to resolve the diagnosis (the "C" word) with the actual risk. And your risk is extremely low. Take a deep breath and let your body heal….
Best wishes,
Janner
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- December 24, 2012 at 1:25 pm
Your surgery was 10 days ago? Even a surgery for melanoma in situ is an "insult" to the body. It is VERY COMMON to have lymph nodes swell after surgery. MIS has close to a 100% cure rate – mainly because it lacks any way to spread. Being confined to the epidermis means there are no lymph or blood vessels available for it to go anywhere. Those vessels are located much deeper in the skin. In addition, it is extremely rare to have a palpable node show up containing disease that quickly even if you had a much deeper lesion. The standard protocol for an enlarged node would be to take some type of antibiotics first – and that is only if you didn't have some more obvious reason for the enlargement. You do: surgery.. They aren't going to biopsy this thing at this point in time and personally, I think you are jumping the gun and this is surgery related. I will give you one warning, though. Constantly "playing" with the node could cause it to become a "reactive node". These are nodes that enlarge for some normal reason, but do not return to their normal size later. Normally enlarged lymph nodes can take weeks to months to return to their normal small size. Even though MIS doesn't take huge margins, it is still surgery, it still takes tissue down to the muscle fascia and it still is traumatic to the body. Let yourself heal. Give it some time and stop playing with the node. It is VERY common to be anxious after a diagnoses – even MIS. It takes time to resolve the diagnosis (the "C" word) with the actual risk. And your risk is extremely low. Take a deep breath and let your body heal….
Best wishes,
Janner
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- December 24, 2012 at 1:25 pm
Your surgery was 10 days ago? Even a surgery for melanoma in situ is an "insult" to the body. It is VERY COMMON to have lymph nodes swell after surgery. MIS has close to a 100% cure rate – mainly because it lacks any way to spread. Being confined to the epidermis means there are no lymph or blood vessels available for it to go anywhere. Those vessels are located much deeper in the skin. In addition, it is extremely rare to have a palpable node show up containing disease that quickly even if you had a much deeper lesion. The standard protocol for an enlarged node would be to take some type of antibiotics first – and that is only if you didn't have some more obvious reason for the enlargement. You do: surgery.. They aren't going to biopsy this thing at this point in time and personally, I think you are jumping the gun and this is surgery related. I will give you one warning, though. Constantly "playing" with the node could cause it to become a "reactive node". These are nodes that enlarge for some normal reason, but do not return to their normal size later. Normally enlarged lymph nodes can take weeks to months to return to their normal small size. Even though MIS doesn't take huge margins, it is still surgery, it still takes tissue down to the muscle fascia and it still is traumatic to the body. Let yourself heal. Give it some time and stop playing with the node. It is VERY common to be anxious after a diagnoses – even MIS. It takes time to resolve the diagnosis (the "C" word) with the actual risk. And your risk is extremely low. Take a deep breath and let your body heal….
Best wishes,
Janner
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