Question on surgical margins. Since I'm most likely looking at recurrence in right cheek, the head & neck surgeon conferred with my medical oncologist on margins and have decided they will go with 1cm. I had asked her to consult with surgical oncologistwhi specialized in melanoma I consulted with in past and he feels that's unecessary. Couple of things he said:
1) Suture Granuloma is possible or other odd looking tissue that formed nodule. If that's the case, aggressive surgery planned is not necessary.
2) Even is it is recurrence taking 1cm won't change prognostic factors as much as more metastasis would or recurrence in lungs etc…
He said he would do surgery if I want but have to wait until 21st and said surgery Tuesday is an emergency…my choice. This puts wrinkle into everything…I trust all my doctors and asked them to discuss the surgical plan and next steps which I hope will happen tomorrow so I can decide whether to go in Tuesday for surgery with ENT or do consult with sugical onc with surgery following week.
Anyone have similar experiences? What did/would you do?
Also anyone out there who reads this have a suture granuloma? Was it painful? Was it nodular?
Or nodular lump by scar that looked odd on CT/MRI and it turned out to be benign?
Josh
