MPIP: Melanoma Patients Information Page

The MPIP is the oldest and largest community of people affected by melanoma hosted through the Melanoma Research Foundation. It is designed to provide support and information to caregivers, patients, family and friends. Once you have been touched by melanoma—either as a patient or as a family member or friend of a patient—you become part of a community. It is not a community anyone joins willingly. But if you must be part of this group, you will find no better place to find the tools you need in your journey with this cancer, and the friends who can make that journey more bearable.

The information on the bulletin board is open and accessible to everyone. To add a new topic or to post a reply, you must be a registered user. Please note that you will be able to post both topics and replies anonymously even though you are logged in. All posts must abide by MRF posting policies.

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Anonymous's picture
Replies 1
Last reply 8/27/2015 - 10:11am
Replies by: ET-SF

I have a friend who just got diagnosed. They are being worked up in the next few weeks - scans, lymph node biopsies, etc. Stage is currently unknown. They are anxious and scared and the work up is over the next couple of weeks. They are tired of being looked at "as a cancer patient". I want to do something for them without overwhelming them with this new diagnosis. Any advice would be appreciated from anyone that has melanoma and could tell me what it was like being diagnosed and what I can do to help. Thank you. 

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Anonymous's picture
Replies 5
Last reply 8/27/2015 - 3:57am
Replies by: stars, CHD, Anonymous

Looking for some help/guidance or analysis on the following.

 

I am a 35 year male.  I saw the dermatologist last week (my first visit ever) for a routine exam.  He noticed an area of suspicion on my back and scaped it off to be sent away for analysis.

 

I recieved the results yesterday and picked up the pathology report also yesteday and wasn't expecting what he told me.  I have a follow-up 3 weeks from today to have more cut out to help ensure it is removed (Wide local excision with 1cm margin).  They also stated I would need to have checkup's every 6 months for the next 3 years.  They did not give me a stage.  In addition to self screenings, if there anything else I should be doing?  Do I need to have any additional test to ensure this has not spread?  I have a bit of an idea of the diagnosis below from my conversation with the doctor and research online.  Just looking for a bit of help on this as I am a bit nervous.  Also, what does the following statement indicate?  "It was difficult to distinguish this melanocytic lesion from a severely dysplastic compound nevus from invasive melanoma"  Thanks in advance for any guidance here and if there is anything else I should be doing or concerned about.

 

Diagnosis

Skin, left inferior upper back

Malignant melanoma, superficial spreading with focal invasion

Breslow's depth: 0.4mm

Clarks Level III

Ulceration: Not identified

Mitotic rate: <1/mm2

Lymphovascular invasion: Not identified

Features of regression: Not identified

Lymphocytic Host Response: Brisk

Coexisting nevus: Possibly identified (dysplastic nevus)

Margins: Free of melanoma

 

Clinical info:

Left inferior upper back - Shave, Reddish Brown variably pigmented macule, neoplasm of uncertain behavior vs dysplastic nevus

 

Gross Description

Specimen recieved in formalin identified as "Left Inferior Upper Back" and consists of a shave biopsy measuring 6x5mm.  The specimen is bisected and totally submitted in one casette

 

Microscopic Description:

There are irregular, junctional, melanocytic nests.  Additionally, there is an area that has an increased number of single unit melanocytes and a "zipper sign" is noted.  In the dermis, there is a focal area with similiar appearing melanocytes compatible with focal invasive melanoma.  Also in the dermis, there is chronic inflammation with melnophages.  It was difficult to distinguish this melanocytic lesion from a severely dysplastic compound nevus from invasive melanoma.  Multiple levels were examined.

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Elliemae216's picture
Replies 4
Last reply 8/28/2015 - 6:38pm

Last November I was diagnosed with a Stage 1 melanoma on my back.  The surgeon used local anesthesia, which ended up being extremely painful for me. My insison was 4-5 inches. The shots where horrible and painful, then the removal of the tumor.  Is it routine for this procedure to be under local anesthesia?  If so, I don't think I can endure another....

Ellen

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Anonymous's picture
Anonymous
Replies 2
Last reply 8/26/2015 - 1:05pm

I just found out i have two liver mets 8mm and 5mm.

What is the standard treatment for these?

 

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Anonymous's picture
Anonymous
Replies 4
Last reply 8/30/2015 - 10:34am
Replies by: ET-SF, Marianne quinn, Anonymous, Thandster

First off.. what does "pre-melanoma" mean?

Second, my husband just noticed a grape size bump under his skin near a spot that once had a pre-melanoma. It was removed but not in that big circle around it that they did on the main growth.

He finished ippy two months ago and just got a spot biopsied from his liver. They think it is melanoma so the plan is to go on opdivo when the patholgy comes back.

Will they have to do a big circle removal (wide area something) on this spot? Or are bumps under the skin next to the incision a typical thing?

I wish i knew more about cancer to understand what its going on.

Rebekah

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momof4boys's picture
Replies 5
Last reply 8/25/2015 - 6:39pm
Replies by: dfeng, BrianP, kylez

So I am awaiting a bronchoscopy this week to biopsy the enlarged lymph nodes in my chest and would like to think about possible treatment plans that way if it is positive then I can have a somewhat educated conversation about treatment rather than being confused. So I've already had ipi the 3mg arm of the ipi/interferon trial. I finished all doses. So I've been reading here the last 2 years trying to keep informed on different trials/drugs. So since I've had ipi already does that mean I wouldn't be able to do the ipi/nivo trial and is that trial even available. I live around Omaha and would possibly be able to travel some, it might be pretty hard to do that all the time I guess cuz of my kids but what other trials are showing promising? I agree with what Celeste told me about trying a trial first so an anti-pd1 doesn't disqualify me for something else. I would sure appreciate any and all thoughts about what might be a possible game plan from some of you stage 4 people. Thanks

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JoshF's picture
Replies 22
Last reply 9/1/2015 - 6:56pm

I know many here would say MRI is crucial for brain surveillance but my onc says without symptoms that a CT and/or CT/PET would suffice. I question whether I should just ask for it or find another onc who would be more agressive with scans.

Do symptoms usually present themselves? What are common symptoms?

What is likelihood of Stage 4 getting brain mets?

Are treatments effective for brain mets? Radiation? Does ipi, keytruda and others pass the blood-brain barrier?

I'm giving myself a lot of stress just thinking about this lately. I feel fine but we all know what stress does to us...I'm just in an anxiety phase lately and just trying to work my through. Posting here and getting feedback usually helps.

Thanks...be well!!!

Josh

Let's work for better treatments....for a cure!!!!

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casey81's picture
Replies 2
Last reply 8/25/2015 - 3:29am
Replies by: stars, 273c

Hello, all.  For the past few weeks, I've delved into internet research trying to gain some insight.  Naturally, most of the answers I've found haven't been very comforting.

I've had two severely dysplastic moles excised, and two more that came back as mild.  I'm sure I have other that are mild, but I'd say maybe only two more.  Well, three, because I have a new small light/dark brown freckle on the side of my foot.  That one has me worried, but I'm getting it looked at this Friday.  In total, I'd say I have about 60 moles, including a few on my scalp.  Most are small and round, with about 5 being larger and a little darker.  My grandmother had melanoma on her nose about a decade ago.  Well, I think it was melanoma..she had a sore on her nose for years before she finally went and got treated for it.  

I say all of that because through my research, it's hard to find out where I fit in the spectrum of risk.  My derm said that I didn't qualify for FAMMM, but the criteria online suggests that I do.  Of course, I'm more apt to believe a doctor, but it's unsettling.  I tan decently (though not anymore, I avoid the sun like a vampire), and have dark brown hair.  I don't remember having a severe sunburn, but I've probably spent a collective hour in tanning beds years ago.  It seems like getting this cancer is unavoidable.  What kind of odds do I face?  Certainty?  A coin flip?  A roll of the dice?

This forum seems full of really kind, brave people, which is what encouraged me to sign up.  Thanks for listening.

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I had a insitu melanoma in 2006. Recently I had a moderate dysplastic mole removed. My derm re excised to get clear margins.I still had repigmentation after a month, so my derm went back in an excised the skin completely to prevent regrowth. The biopsy from that procedure came back normal. Does that mean that that the procedure was unnecessary? Is it common for a moderate dysplastic mole to grow back normal? Was it likely to turn dysplastic again? I just want to make informed decisions if this comes again. I will discuss with my derm next time I see him, just want to get some other opinions. Thank you!

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Mamarose0403's picture
Replies 9
Last reply 8/25/2015 - 12:22pm

I was diagnosed with a-b lentigo v malignant melanomas. Two shave biopsies were performed and pathology showed Breslow depths of .18mm & the other at least .6mm with tumor present in deep margins as well as peripheral. I was referred to an oncology team but after reviewing my labs they referred  me to a general surgeon without seeing me. I have since had the the excision but was told not to test lymph nodes at this time. The surgeon cut between 6-8 centimeters down into my forearm and about 6 inches in length. Recovery is not going as easy as I had hoped. I have quite a bit of nerve pain that the prescribed medication doesn't seem to help with and I am unable to bend my arm due to the incision nor can I straighten it because the skin was stretched so tightly when sutured.  My arm is also very cold in certain spots affected by the surgery. I was only told to be concerned if the surgical site was hot not ice cold. I am still worried about lymph nodes and metastasis but the discomfort it taking a front seat. My follow up isn't until sept 1 even though I have made an effort to make it sooner. I thought I was pretty tough in general but this experience is making me feel like I'm being overly dramatic which is not usually my nature. I have a Jewish mother for that department! Please help.  

Leahheart

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courtney2015's picture
Replies 6
Last reply 8/25/2015 - 11:23am
Replies by: casagrayson, courtney2015, michaelinsocal, Anonymous, 273c

Hi there. I had a Malignant Melanoma removed from below my left ankle almost 6 years ago. I'm down to a yearly full body check with dermatologists, luckily nothing has really popped up. Just wondering if anyone has had anything similar to this. In the last 8 weeks I've had a irregular tiny brown spot grow out of no where. It's on the same foot as my original melanoma along with being on the same side. I showed my GP today and she is concerned. I'm waiting to hear from the dermatologists about whether they want to biopsy it straight away or it can wait till I next see them in 2 weeks.

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Randy437's picture
Replies 7
Last reply 8/26/2015 - 10:59am
Replies by: kpcollins31, pookerpb, CHD, Anonymous, BrianP, Randy437

Are CT scans as effective in finding mets in the small intestine as they are in any other area of the body?

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lmhl's picture
Replies 6
Last reply 8/25/2015 - 10:34am
Replies by: lmhl, Anonymous, Andrew1725, momof4boys

Hello

After hearing President Carter's diagnosis of melanoma and his family history of pancreatic cancer, I have a question.  Has anyone ever read about the relationship between the two cancers.  My husband recently passed away from melanoma and his father passed away from pancreatic cancer.  When my husband was first diagnosed our oncologist spoke about a genetic link between the two.  Has anyone else heard about this?

President Carter's announcement was difficult to hear.  My husband experienced melanoma spreading to his brain as well.  

Thank you.  WIshing you all the best.  

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Anonymous's picture
Anonymous
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momof4boys's picture
Replies 5
Last reply 8/23/2015 - 6:32am
Replies by: Jubes, Bubbles, momof4boys, kylez

So I was diagnosed 3b in June 2013 when it was found on my right calf. Snb tested positive so I had a complete lymphadectomy of right groin. In Oct I started Ipi and was able to complete all doses including maintenance doses. Since Im on a trial I get scanned every 3 months with a ct and every 6 or 12 with a pet. So I had a ct in May, Pet in June and both were fine. I had a ct yesterday that showed a lung mass on each lung plus the lymph nodes are enlarged. One was 1.4 cm and the other was 1cm. They have decided to go down my throat to biopsy the lymph nodes. I just want some input here, seems like pretty rapid growth. I'm wondering about this biopsy and the pain level with that as well as if it does turn out to be melanoma what path do you all think I should take? I'm thinking since these are over 1cm and there is lymph envolvement that it probably is melanoma. Any input here is greatly appreciated. I am a mom to 4 teenage boys and I feel like I need to be on top of my game here.

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