Home Forums Melanoma Diagnosis: Stages I &II I thought thinner is better?!

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  • #59088
    Camille
    Participant

    As soon as the melanoma enters the derm there is blood vessels so at the time of the report it can show no invasion in blood vessels but I guess they cannot guarantee it will remain that way. Mine was 6 years ago stage 1 Clark 2 0.55 mm and less than one mitosis. The mitotic rate has replaced the Clarck stage in the new staging system so the lower the mitotic rate the less chance of spreading but I guess it is never 100% cure rate.

    #59089
    cohanja
    Participant

    “As soon as the melanoma enters the derm there is blood vessels” This is what I’m trying to reconcile. Wendy (TreeFrog) in another post stated, “Blood vessels, even the smallest capillaries, don’t quite get to the epidermis or the outer part of the dermis (papillary dermis). An in situ or Stage 1 Clark’s II is not at a level where a blood vessel could penetrate it.” Scientifically, which is it? As soon as the dermis is reached, there are blood vessels? Or, blood vessels don’t reach the outer part of the dermis? I’m sure biologically/physiologically, this is known for a fact, one way or the other.

    #59090
    Camille
    Participant

    In general, over 90% of patients with melanomas of less than 1 mm are cured following surgical removal of the melanoma. In one study evaluating surgical treatment of 602 patients with melanoma 0.75 mm or less in thickness, only 4% of patients experienced a recurrence. In another clinical study of patients treated at the Mayo Clinic, the 5-year survival rate for stage 1 melanoma of 0.75 mm or less was 98%.

    on http://www.texasoncology.com

    There is no blood vessels in the papillary dermis but definitely some in the dermis

    #59091
    Camille
    Participant

    Yes exactly so only in situ have 100% chances of survival. Early stage 1a have about 98% at 5 years. So not such a bad place to be but unfortunately we always wonder if we are not in the 2%. I was doing real bad for 2years and then moved on but now scared again.

    #59092
    cohanja
    Participant

    I think what Catherine is saying, though, is that 2% are pathology errors/mistakes

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