I'm back with what is probably only the beginning of the newbie questions.
The basics: fiancé diagnosed with melanoma last week. Breslow thickness 1.15 mm, Clark level 3/4, mitotic rate 1, no ulceration, melanoma excised with clear (but very narrow) margins, abdominal ultrasound, chest x-ray and bloodwork all clear. First appointment with melanoma specialist the week after next.
We anticipate that the next step is the wide local excision and the sentinel lymph node biopsy. We are really hoping that the SNB comes back negative. If it doesn't, I guess we start looking at treatment options.
If it is negative, however, are there other scans or imaging technologies we should be pushing for to ensure that there really is no melanoma elsewhere in the body? I've read about PET and MRI scans being used in more advanced cases, but it sounds like for stage 1 melanomas, if the SNB is negative, doctors usually say "congratulations" and send you home. However, fiancé is concerned that the SNB might miss some signs of spread. Would it be worthwhile to push for further scanning (in addition to the already-completed chest x-Ray and ultrasound), or would that be excessive? (I should add that we're in Canada so insurance coverage or costs are not an issue).
Thanks in advance for any ideas you might have.