Home Forums Melanoma: Stage III Stage III and radiation

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  • #20595
    Chinix
    Participant

    Hi everyone,

    I have already posted here previously but now we know a bit more where we stand so here’s an update and a few questions.

    My father was diagnosed with nodular melanoma beginning of May. It was located just under his right nipple. Breslow 1.43 mm, Clark III, ulceration present, mitotic rate 15/mm2.

    He is Swiss but lives in Brazil and decided to come to Switzerland for further exams.

    – SLN and WLE. 2 nodes were taken out and 1 was positive with extracapsular extension.

    – One subcutaneous in-transit was removed with the WLE.

    – Complete lymph node dissection under his right arm. 1 node out of the 17 was positive with extracapsular extension.

    – A CT-scan end of May showed 3 nodules in the lungs.

    – A new CT-scan 3 months afterwards showed no progression of these nodules. Therefore the doctors are quite reassuring. Should be checked again in 3 months time.

    – The brain MRI was normal.

    – Clinical and skin examination at 3 months was normal.

    The onco here in Switzerland says he should have radiation under the armpit. The reason being that the 2 positives nodes had extracapsular extension with melanoma cells on the tissue surrounding. They say radiation is “controversial” in Stage III melanoma treatment because it helps to control local disease but doesn’t increase global survival. However, in my father’s situation, they would recommend it.

    What are your experiences with radiation at this Stage?

    My father wants to go back home to Brazil. We are trying to organize the next steps there (radiation and 3 months check up + scan). Do any of you know any melanoma specialist in Brazil? He lives in Recife, a big city in the north east of Brazil.

    Thanks for any help you could give and thank you for all the support.

    Viviane

    #56302
    msue5
    Participant

    I had extracasular extension also and was offered radiation but I had an open wound so couldn’t do it in the time frame that was suppossed to be most beneficial. I think I would have done it but they were very up front about the risk of increased lymphedema(rt leg). It would be interesting to hear from people that had it and what happened with regards to lymphedema. Maybe some folks could weigh in on this.

    #56303
    Chinix
    Participant

    Hello msue5,

    Thanks for the reply!

    Could you tell me what was the time frame your doctorssaid it would be most beneficial? My father is 6 weeks from complete node dissection. He had the drain removed 17 days ago but is still dealing with a bit accumulation of lymph under his armpit and had to have 2 punctures (20mL and 30 mL). Besides, as I mentioned in my previous post he’s going back to Brazil and probably would not start radiation until the last week of September.

    Viviane

    #56304
    msue5
    Participant

    If my memory is right i was supposed to start somewhere around the 12th week after surgery. By the time my open wound closed (6 mos) it was too late. You can have a consultation from a Radiology Center or the Melanoma Specialist can tell you the exact time frame. You have to have healed, no drainage to start. When I went for the consultation the radiologist knew I was not going to be ready for the most beneficial time frame.

    Mary Sue

    #56305
    Chinix
    Participant

    Mary Sue, Thank you for the reply. The oncologist said that radioation should be done around 3 months. My father will do it in Brazil.

    I wish you the best.

    Viviane

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