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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Ridingaroundwith27Jennifers's picture
Replies 4
Last reply 5/29/2017 - 12:18pm

Has anyone had severe muscle spasms and burning pain?  I have this down the right side of my body, neck, shoulder, upper arm, abdomen, groin, leg, and foot.  This is the foot I had lost sensation in from the removal of the brain tumor.  The surgeon was quite positive I would regain sensation so at first I thought maybe this was related to regaining the feeling.  Then it moved up into my abdomen and should.  I'm worried this is due to tumor growth.  I'm worried.  Especially since this is only on my right side.  If the turmor is growing could it cause spasms?

Thanks

Jennifer

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Hammers's picture
Replies 7
Last reply 5/29/2017 - 8:31am
Replies by: Hammers, Janner, Anonymous, UBContributor, casagrayson

Hello,

I was diagnosed in Feburary with a pt1a tumor on my back, depth was .38 and no ulceration or mitoses.  WLE was perfomred and I have had my first follow up.  I have had 7 other spots removed that all came back normal or mild atypia.  My question is, I have developed a small dry caugh in the past week.  How long should I wait before I call my Dr. and let her know?  I don't want to freak everyone out and then end up getting irradiated for no reason.  I also have intermittent GERD that has caused a minor caugh in the past that has been acting up, but now I am paranoid since the MM diagnosis.

How long should I wait to go into panic mode and call my dermatologist?  

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betsyl's picture
Replies 2
Last reply 5/29/2017 - 7:35am
Replies by: Ed Williams, Patrisa

About half-way done with planned six-month course of Keytruda. Got scan results this week:

========

1. Partial response to therapy with significant decrease in size of the mass posterior to C7 and near-complete metabolic resolution of the right upper back skin lesion.

2. FDG avid focus within the posterior aspect of the left prostate is nonspecific on PET and could be due to focal prostatitis or malignancy. Please correlate clinically/lab results.

========

Not sure how to take this. The possibiltiy of a second cancer (prostate) is concerning, though we know prostate cancer is (usually) very slow growing.

Can a "partial response" turn into a "full response" later? Or once a partial always a partial?

-Betsy

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AliCat61's picture
Replies 2
Last reply 5/28/2017 - 1:04pm
Replies by: Bubbles, Spl25

Wouldn't you know we would get the radiology report on the Saturday before a holiday! We will have to wait until Tuesday to talk to anyone, and it will have to be a Nurse Practitioner as the oncologist is away at a conference. Arghhh! To give a little background, hubs was diagnosed with nevoid malignant melanoma in 2015, did a year of interferon treatment, and in January 2107 was diagnosed with metastatic cancer after a PET SCAN lit up parotid gland and very small spot on left lung. he's had 3 out of 4 combo treatments (Opdivo and Yervoy) and is scheduled to get the 4th one on Wednesday. He was treated twice for pneumonia and Monday the pulmonary specialist decided to do a CT with contrast and a CT without contrast as well as bronchoscopy. The pulmonary specialist said everything was "fine" but the report that we got in the mail today is concerning. 

FINDINGS: There is a 12.5mm nodule within the superior segment of the left lower lobe. This appears increased in size from comparison exam. This is noncalcified in a somewhat spiculated margin may represent a pulmonary neoplasm. There is a small left pleural effusion. 

Cardiomegaly: Pulmonary vascular congestion with evidence if interstitial alveolar edema. Prior granulomatous disease. Limited imaging of the upper abdomen shows a small hiatal hernia. 

A small mediastinal and hilar lymph nodes. These are non-specific. Or degenerative changes of the spine. 

Impression: Enlarging nodule with the superior segment of the left lower lobe. This may represent pulmonary neoplasm. Followup PET CT is recommended after the patient has pulmonary edema has been corrrected. 

To me, that sounds like that tiny spot in lower left lung may not be so tiny anymore. The area around his parotid gland on right side of jaw line extending behind ear enlarged and became hard and painful after initial Opdivo&Yervoy Infusion. It began to press on a facial nerve and caused a few days of intense pain. But then after about 4 days, it began to shrink and has shrunk consistently. Hubs say he can't even feel the initial little pea size lump anymore. It doesn't really make sense to me that one spot would seemingly respond so well, while another grows larger. Any thoughts? I thought if one spot responded, all would, since it's all melanoma, but what has your experience been? Tuesday seems like a very long time from now.....

Alison - wife of Roy, Stage IV Metastatic Melanoma

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D1983j's picture
Replies 6
Last reply 5/27/2017 - 5:29pm
Replies by: D1983j, raun cesar, Anonymous

I have had stage 1 a Mel a year ago. I worry a lot about bumps and moles but the anxiety gets a little better. I have a bump very small on my scalp and it's not red or growing. My husband checks my scalp often and says he doesn't even see it unless I make it red. I have been able to sort of scratch it off but I have really dry scalp anyways. It will bleed if I really scratch hard. I know I shouldn't but I thought it was a pimple or ingrown hair type thing. Now in saying all this my husband has told me that I was worried about it before my last apt in Feburary and my derm who checks me well didn't notice anything. Apparently I wasn't worried enough to ask at the time. My main worry is nodular melenoma and I'm pretty sure that wouldnt scratch off easy and it would be growing bigger fast which this hasn't. I've really had bumps or pimples on my scalp before and didn't think about it because I knew she was checking me and they didn't have characteristics but now I'm going into worry mode. Any help would be appreciated. I've read about sebacious cysts as well which I lean towards considering the time it's been there and how oily my scalp is there. Thanks for listening! This site has helped me a lot over this journey and I pray for anyone affected.

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Shannon B's picture
Replies 6
Last reply 5/27/2017 - 3:51pm

Hello all,

I haven't been here in years. My hubby was NED stage III November 2006 after a lymph node dissection. I stayed around here for a few years but found that I was staying worried all the time. We found out today that Willie's cancer has returned. We go next week for scans. He has an unknown primary. What's new as far as treatment these days.

Thanks for reading!

Shannon B

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AliCat61's picture
Replies 5
Last reply 5/27/2017 - 1:48pm
Replies by: AliCat61, Bubbles, marta010

We had a HORRIBLE experience at the hospital yesterday. If you want details you can visit https://www.caringbridge.org/visit/roychappell/journal and read the post from the 22nd, including the comment. I woke up feeling like a Mack truck had hit me and I know that however bad I feel, Roy is probably feeling 20 times worse. I have channeled my anger appropriately, to the proper people in a factual manner and I have been assured by the Quality Director and Risk Manager of the Hospital that she will "open an investigation into what happened to you and your husband yesterday.  I will respond to you in writing with the results of the investigation and any needed changes to the processes needed.  Thank you for your feedback.  We cannot make changes unless we are aware of the concerns and issues. Thanks again for sharing your experience with us.". So I feel that I have been constructive, hopefully preventing something like this from happening to others in the future, but I'm still just plain ole MAD. They stole a day of our lives from us that we can never get back. I'm going to let myself cry just a little, then I'm going to go and hold my husband and snuggle with him and be grateful for today. I might even break the sugar ban and have some Mint Chocolate Chip ice cream :). I have a feeling that this experience is going to be a little tough to let go of though, Anyone have any suggestions? I have to hold so much in for my husband's sake that I feel like I am going to self-implode one of these days. I tell myself to put my big girl panties on, because I KNOW that so many of you are in much worse positions with young children, while our children are grown and my husband is 70 and has had a good life. I KNOW that but I also know that what happened yesterday didn't have to happen and I am just plain ANGRY on behalf of every hospital patient ever.  If you are a praying person, please pray for me to find the strength to be a better, stronger person and let this go. If you're not into prayer, good vibes and positive thoughts are appreciated too. Love and hugs to all of you who have to go through on this awful journey. 

Alison - wife of Roy, Stage IV Metastatic Melanoma

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Jeff_in_FL's picture
Replies 5
Last reply 5/27/2017 - 1:40pm

Hi all,

Here's a question that I'm curious about:

When someone mentions "tumors" in their postings, are they usually out likely referring to moles, or would it be more likely lumps? I constantly see posts where people mention something like "...I found two more tumors ...". Just trying to correctly understand the terminology.

Thanks,

Jeff

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Maureen038's picture
Replies 11
Last reply 5/27/2017 - 11:58am
Replies by: Maureen038, Ed Williams, UBContributor, Bubbles, Anonymous

Hi all,

    I visited this site a lot but don't write on it a lot. I care so much for everyone here and truly hate this disease!!! My husband had scans on Thursday and has a new 1.5 cm nodule in his liver. Everything else is stable but having a different organ involved is terrifying. He had a MRI this morning so we're in the awful state of waiting and wondering what's the best option. Please give me advice on what's best for Bill.

love to all,

maureen

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Anonymous's picture
Replies 12
Last reply 5/27/2017 - 10:02am

Hi All - I'm flipping out a little bit so any guidance/thoughts on this would be greatly appreciated :/

I have received a pathology report from my dermatologist and it has been recommended that I have my mole re-excised. The dermatologist would like to do 5mm margins and has mentioned going 5mm deep to the subcutaneous fat layer (I am not happy about this and would like to leave this layer alone...the cells are said to be in the epidermis and epidermis-dermis junction only so why go that deep? Too big of a margin to me). Please recognize, while I am not thrilled about the idea of a scar my concern is NOT stemming from cosmetic concerns and IS stemming from physiological concerns...I am a very active person and this is on the back of my left calf. I use my calf a lot with everything from 8 mile hikes to water rowing to running 5ks to using a versa climber, weight lifting, etc. I have a lot of anxiety and exercise is my everything.

I have read several horror stories online from wide local excisions of this type where people experienced permanent nerve damage, muscle damage, and basically an inability to be really active or train hard. I'm a 26-year-old female, very fair and pale, avoid the sun during the hours of 10-4 and wear sunscreen religiously. I also routinely wear long pants and even jackets in the car to avoid the sun. I'm miffed that I would have a "precancerous" atypical cell situation.

Basically...my question is two fold:

1) what if I decide not to re-excise this? what are the changes this remains benign?

and 2) would Mohs provide me with a better physiological outcome (I'm speaking with a Mohs surgeon next week but would like to hear from others here)? Or is there a way to specifically get my doctor to confirm that he will not cut into the subcutaneous fat layer or that he will stay in the epidermal and epidermal/dermal junction range in terms of depth?

Here is the pathology report, word for word:

Submitted is a single slide of shave biopsy material which shows a junctional melanocytic proliferation composed of slightly enlarged and hyperchromatic melanocytes located at the base of the junction as well as along sides of rete ridges. There are some single melanocytes within the spinous layer as well. There is a back-ground of a patchy lymphoid infiltrate that partially effaces the junction in some areas. The proliferation overall does not appear sharply circumscribed and extends to the lateral biopsy edge.

Diganosis: Skin, left calf, inflamed atypical junctional melanocytic proliferation, extending to a peripheral tissue edge.

Comment: Given the clinical diameter of a 7mm plaque, the findings are concerning for a junctional nevus with atypical melanocytic hyperplasia at least. A melanoma in-situ is not completely excluded. Deeper levels would be of value. Pending review, complete re-excision with appropriate clinical margins is recommended.

Addendum: Left calf - Recuts reveal areas of more severe cytologic atypia that is asymmetric and extends to the lateral margin. Diagnosis is amended to: Skin, left calf, junctional atypical melanocytic hyperplasia with adjacent nevus. Complete re-excision with appropriate margins is recommended.

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Anonymous's picture
Anonymous
Replies 1
Last reply 5/26/2017 - 2:48pm
Replies by: jennunicorn

A 25 year old mother to a two year old, I never questioned my skin care when it came to the sun. 

I grew up in a remote town (an island) in Maryland and spent my summers on workboats with my father and had my share of sunburn and tanned skin. As I grew older, my skin tone continued to tan easily with minor sunburn here and there. I use sunscreen on my daughter religiously, but I opted for tanning oils for myself mostly. I also was an avid tanning bed user (3-4 days a week) for about 5 years. My mother is italian, so my complexion is on the medium side, but there are periods of time when I don't tan (indoor or out) that I am borderline pale. 

I have freckles here and there on my shoulders and chest, and I have two raised cherry freckles that have never been concerning to doctors. 

About 6 weeks ago, a new mole on the outside of my armpit close to my shoulder appeared. Small, and very black. I ignored it until about two weeks later. I noticed it was a tad bit bigger. I again let it go. 

Two weeks ago I found myself itching it, not often but when I did, it made a tingle sensation. The same week, I started having pain in my underarm like swollen, tender lymph nodes. I asked my husband, and he said I should get it looked at. I called the dermatologist, and they stated they had openings about 3 weeks later. When they asked what I wanted to be seen for and I explained, I was put on hold and was informed to come in first thing the next day. That scared me. I just went, and the dermatologist asked no questions about my history, just said new moles should be checked. He said he wasnt concerned, but wanted to shave it and send it to the pathology lab. He said most people with olive skin tones/dark hair and eyes do not get skin cancer, and since it was a new mole entirely, it was nothing to worry about.

Is this right? Everything seems to read new moles over 25 years old should be checked out. Does my complexion make me less of a target? Should there have been more conversation about my history with sun exposure? 

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Anonymous's picture
Anonymous
Replies 1
Last reply 5/26/2017 - 12:56pm
Replies by: Anonymous

Hello everyone.

I have a question see if anyone has come across this. I was diagnosed in 2015 with 3 primary melenoma. Melenoma in situ and also stage 1a and 1b. I only had surgery as they said mine were under 1cm. Since then I have several basal cell removed but no melenoma. I went to the Er last week and had a high d dimer test so they had to give me a c.t scan of the chest everything came back fine, but now I am wondering if the d dimera has anything to do with all the skin cancer I have had. My doctor,said anything can raise it level. Any suggestion would be great. Should I get it retested? The reason i had the ct scan was right arm pain and chest discomfort which they didn't know why but because of elevated d dimera they had to do d dimer. Thanks everyone

LAURA CHARTIER

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Christine.P's picture
Replies 7
Last reply 5/25/2017 - 10:59pm

I recently posted that I have 4 new tumors in my right leg, hip, and lower back and that I also just recently found out I am BRAF positive. I did 3 doses of ipi/nivo and have been on just nivo for almost a year. 

At my last appointment my doctor mentioned Tak/Mef, but now it seems she is pushing me to stay on nivo and postpone the targeted therapy. All I can get her to say when I ask why is that the progression is 
"slow" and Tak/Mek only stops progression for 10-11 months (in most people). 

I have 2 pressing questions/thoughts. 

1. While I know it's good that there is no progression to the lungs, etc. I am not understanding how 4 new tumors in 3 months (since the last PET scan) is "slow." Is that actually slow? 

2. Why isn't it better to do the targeted therapy now when the tumor burden is low than to wait until it spreads more? I don't understand that part. 

I have a nivo infusion tomorrow and will ask the nurse to make an appointment for me with my doctor so we can talk about this in person. (After our initial appt when she told me about the targeted therapy, I developed new questions and emailed her twice. Both times I got a one-sentence "answer." I know she is busy and generally just terrible at email, but this is important to me. I know she'll be better in person.)

So, what would you all do or recommend? Start Tak/Mef now or wait? I know you can't tell me what to do, but I guess I want to know if I'm wrong or unreasonable to think now would be better. 

It's so hard to know what to do. I hate this disease. 

Christine P. 

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Christine.P's picture
Replies 7
Last reply 5/25/2017 - 8:37pm

I realized after I posted my last message that I should have used a more specific subject line so that those with Taf/Mek knowledge and experience would see it better. Here is my original post. I am wondering about the timing of the targeted therapy - is it better now when I have a low tumor burden or is it OK to wait until there is more progression? Thank you for your feedback.

Original post:

I recently posted that I have 4 new tumors in my right leg, hip, and lower back and that I also just recently found out I am BRAF positive. I did 3 doses of ipi/nivo and have been on just nivo for almost a year.

At my last appointment my doctor mentioned Tak/Mef, but now it seems she is pushing me to stay on nivo and postpone the targeted therapy. All I can get her to say when I ask why is that the progression is
"slow" and Tak/Mek only stops progression for 10-11 months (in most people).

I have 2 pressing questions/thoughts.

1. While I know it's good that there is no progression to the lungs, etc. I am not understanding how 4 new tumors in 3 months (since the last PET scan) is "slow." Is that actually slow?

2. Why isn't it better to do the targeted therapy now when the tumor burden is low than to wait until it spreads more? I don't understand that part.

I have a nivo infusion tomorrow and will ask the nurse to make an appointment for me with my doctor so we can talk about this in person. (After our initial appt when she told me about the targeted therapy, I developed new questions and emailed her twice. Both times I got a one-sentence "answer." I know she is busy and generally just terrible at email, but this is important to me. I know she'll be better in person.)

So, what would you all do or recommend? Start Tak/Mef now or wait? I know you can't tell me what to do, but I guess I want to know if I'm wrong or unreasonable to think now would be better.

It's so hard to know what to do. I hate this disease. 

Christine P. 

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Anonymous's picture
Anonymous
Replies 0

Question for those folks that have been on or are currently on Targeted Therapies. Have any of you developed AFib while on these drugs?  

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