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July 5, 2012 at 12:12 am #20441
Last week, I went to a dermatologist to get my moles looked at for a baseline. My primary care Dr. just wanted to get them check because I have a lot of moles. Well my dermatologist look at all of them and decided to remove one on my back. He didnt think it was a bad one but wanted to be safe. Well on on Monday of this week he called back and informed me that it was positive for melanoma. I do not tan, I am fair skinned white, and hate the beach, so i was shocked. He said it was .5mm deep and staged it at 1A. I went back to him the next day and he did a wide local excision about 1cm around. That was yesterday. So what is next? I go back in two weeks to get the staples removed and then I guess i see him once every 6 months for two years. My questions are the following
1. since i have a lot of moles why did that mole have melanoma?
2. Since I have a lot of moles on my body and near the one he removed, does that chances go up for the others to have melanoma?
2. Since i get checked now every six months, can one mole progress to a high stage in six months.
3. When the survival rate is 95% plus, does that mean that only 5 percent chance melanoma will return anywhere in my body in another mole.
Do I make sense here,lol.
Should I see another dermatologist to get another opinion and another set of eyes to look at my moles.
Or since it is only stage IA i should relax and be glad it is only that stage.
any advice and info would be great.
I see him in two week, what questions should I ask.
RichJuly 5, 2012 at 12:15 am #55297cohanjaParticipant
Do you have a copy of your pathology report with other information in addition to the .5mm? So, mitotic rate, regression, etc..?July 5, 2012 at 12:34 am #55298
i can get a copy. But according to the Dr when he removed the mole there were clear non cancer cells around the melanoma.
Can you answer the other questions i asked.
Thanks againJuly 5, 2012 at 2:42 pm #55299WorrywartParticipant
Your Dr probably removed the most suspicious looking mole. Since that one was melanoma, he/she may want to check you over again and possibly remove a few more…to get an idea of what is ‘normal’ for you and what is abnormal. You will want to get to know your skin and do a monthly skin check – looking for anything new or changing. Since you have a lot of moles, mole mapping may be a good option for you. As for your second question, melanoma does not usually grow to a late stage in 6 mos, but there are types that are aggressive (nodular for instance). The 5% survival for your stage indicates that 95% of people with your same diagnosis will be alive in 5 years. When melanoma spreads (or metastasizes) it does not go to another mole, it goes to organs/lymph/blood – that is when it becomes deadly. Another melanoma is called a NEW primary, and is unrelated to your first one. The odds of a second primary melanoma are somewhere between 8-10%. I would recommend a second opinion on your pathology at a center of excellence. Search for a dermatopathologist and have your doc send the slides. Good luck!July 5, 2012 at 4:06 pm #55300 what is a center of excellence? I live in rochester ny.July 5, 2012 at 4:27 pm #55301cohanjaParticipant
Cancer Research Center
Albert Einstein College of Medicine
Chanin Building, Room 209
1300 Morris Park Avenue
Bronx, New York 10461
Columbia Melanoma Center
New York Presbyterian Hospital
The Tumor Vaccine Program
Department of Surgery
177 Fort Washington Avenue
New York, NY 10032
Roswell Park Cancer Institute
Elm & Carlton Streets
Buffalo, New York 14263-0001
Cold Spring Harbor Laboratory
P.O. Box 100
Cold Spring Harbor, New York 11724
NYU Cancer Institute
New York University Langone Medical Center
550 First Avenue
New York, New York 10016
Memorial Sloan-Kettering Cancer Center
1275 York Avenue
New York, New York 10021
Herbert Irving Comprehensive Cancer Center
College of Physicians & Surgeons Columbia University
1130 St. Nicholas Avenue
New York, New York 10032
James P. Wilmot Cancer Center
University of Rochester Medical Center
601 Elmwood Ave. Box 704
Rochester NY 14642
Montefiore Einstein Center for Cancer Care
Montefiore Medical Center
Greene Medical Arts Pavilion
3400 Bainbridge Avenue
Bronx, NY 10467
Weill Cornell Cancer Center
New York-Presbyterian Hospital
525 East 68 th Street
New York, NY 10065
Tisch Cancer Institute
Mount Sinai Medical Center
1190 5 th Avenue
New York, NY 10029
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