Last Dr appt, Physician Assistant said (in the context of monitoring for recurrence) that were it to recur, we’d see it first on the skin (around the WLE site, etc..) before it would get to other organs, etc… That’s not true, is it? I thought metastasis is when it has gone to a distant site, but you wouldn’t necessarily see anything locally beforehand on the skin, would you?
I don’t think that’s accurate at all. Most of the reading I’ve done points to regional lymph nodes as the most common site for spread. Local recurrence and in-transit metastasis are much less common, at least according to the material I’ve read, and are more prevalent in elderly patients.
As we’ve both said before, some of these health care pros need to learn about this stuff before “informing” the patient.
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