Question on treatment

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  • Post
    • November 29, 2016 at 12:35 am
    gregor913
    Participant
      Hello everyone. I was originally diagnosed 3b from a mole on my back in nov 2015. The excision opened up and left a good size scar on my back after it healed.(2in high 5in long) I spotted a small spot on my scar and pointed it out to derm.(size of a freckle) The spot removed and came back insit u melanoma. I had a pet/ct scan that came back clear as of today. What would be my next options to treat this melanoma in situ . Since it was on the SCAR can melanoma insit u spread? I mean does insitu make a difference between normal skin and scar tissue. I always look forward to hearing from everyone especially Janner. There are so many knowledgable people on this site. Thank you
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        • November 29, 2016 at 12:43 am
        Janner
        Participant

          Have it surgically removed.  There is no other option.  Yes, in situ can grow in scar tissue.  Melanoma can grow in a lot of different tissue types if it spreads and the key is to remove it at the original site if at all possible.  I know it isn't fun to have more tissue taken in this area but that's the best course – remove it and get good margins.

          • November 29, 2016 at 12:43 am
          Janner
          Participant

            Have it surgically removed.  There is no other option.  Yes, in situ can grow in scar tissue.  Melanoma can grow in a lot of different tissue types if it spreads and the key is to remove it at the original site if at all possible.  I know it isn't fun to have more tissue taken in this area but that's the best course – remove it and get good margins.

              • November 29, 2016 at 1:04 am
              gregor913
              Participant
                Thanx janner. My question is does melanoma insitu on a scar have access to blood vessels and lymph vessels. Or once. The insitu is removed its pretty much taken care of for now.
                • November 29, 2016 at 1:04 am
                gregor913
                Participant
                  Thanx janner. My question is does melanoma insitu on a scar have access to blood vessels and lymph vessels. Or once. The insitu is removed its pretty much taken care of for now.
                  • November 29, 2016 at 4:15 am
                  Janner
                  Participant

                    In situ means it is confined to the epidermis and that is not typically where you find any type of vessels.  Scar tissue is an unknown as things have been disrupted.  Unless the pathology report notes anything like lymph or vascular invasion, I think you're good to go.

                    • November 29, 2016 at 4:15 am
                    Janner
                    Participant

                      In situ means it is confined to the epidermis and that is not typically where you find any type of vessels.  Scar tissue is an unknown as things have been disrupted.  Unless the pathology report notes anything like lymph or vascular invasion, I think you're good to go.

                      • November 29, 2016 at 4:15 am
                      Janner
                      Participant

                        In situ means it is confined to the epidermis and that is not typically where you find any type of vessels.  Scar tissue is an unknown as things have been disrupted.  Unless the pathology report notes anything like lymph or vascular invasion, I think you're good to go.

                        • November 29, 2016 at 1:04 am
                        gregor913
                        Participant
                          Thanx janner. My question is does melanoma insitu on a scar have access to blood vessels and lymph vessels. Or once. The insitu is removed its pretty much taken care of for now.
                        • November 29, 2016 at 12:43 am
                        Janner
                        Participant

                          Have it surgically removed.  There is no other option.  Yes, in situ can grow in scar tissue.  Melanoma can grow in a lot of different tissue types if it spreads and the key is to remove it at the original site if at all possible.  I know it isn't fun to have more tissue taken in this area but that's the best course – remove it and get good margins.

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