View Full Version : Melanoma In Situ when to go further?

03-17-2006, 10:29 PM
My husband has been diagnosed with melanoma in situ. I realize that if you were to have melanoma this is a good one to have. My question is, at what point do you request further testing? PET scans, MRI, CAT scans? Is it overkill to check for this or should we be happy that we find it - slice and dice and move on?? He (we) have been battling the slice and dice for 2 years now, most of the sites look the same as the others, so I am not sure if we are being overly cautious. The dr. thinks that the check , watch and slice and dice is the way to go with MIS, but HOW do you know if it goes to stage 1 - 4??
Any help with this would be appreciated! :confused:

Ga Lady
03-19-2006, 07:36 PM
Ok, I am probably confused here. Did he have it excised? Meaning after the biopsy that came back melanoma in situ did he have more tissue removed from around the area? If not then he would need a .5 cm marginal excision done for "clear margins", My melanoma was .80 in depth and had went to the Clark IV level of skin. Breslow is the depth that dermatologists normally go by and 'sometimes' use the clark If it's regressed or ulcerated. Melanoma in situ is an almost 100% cure after removal. Meaning it had "just begun". Main thing now is to have check ups every three months. No Pet Scan or MRI's needed. I will offer a word of advice on that. I am Staged at 1b, and I went to an oncologist for my own peace of mind. That peace of mind almost drove me insane. When you go digging (fishing) in deep waters....You're going to find odd things! So I wouldnt advice any testing due to the in situ being a beginning stage. And another helpful reminder. Only 8% of melanoma patients EVER have another. Don't look at the 8%,,,think of the 92% that dont! So tell your hubby he got his soon. Acted fast! Didnt wait. I did. I didnt think mine was anything to worry about because it was a pinkish spot. Wrong! And my GP told me that it was "nothing to worry about"...ALWAYS go to the specialist when it comes to the skin. Don't put your faith in a Dr that only know "General" Specialists KNOW the signs. Generals "think" they do!

03-20-2006, 04:58 AM
Thank you so very much for your response. Yes he did have it excised, with the margins.
I really do appreciate your comments regarding 'fishing'. My husband is fine not looking it was me! We are very vigilant on checking and going to the derm. The doctor says the same thing as you, but ......! When you hear the c word you think the worst, and I guess I need to put it all into perspective.
Again thank you for taking the time to respond.

Ga Lady
03-20-2006, 07:07 PM
Chris, You are very welcome hun. I know the fears all too well. I am 37 years old and never thought I would deal with such this young. Scared me to death. BUT on the bright side, I have to look at it like this. I caught it in time. It's all gone. I keep a watch on spots that I dont like. I work for my derm and yeah from time to time I'll pull him to side and say "what's this" but generally, as time has passed since last July I have settled my peace and more than that I have let my Faith in the Lord take control. The great Healer was the one I had to lean on during these times.

Good Luck! Move on and dont dwell. Live life. I live today as if its my last. Because once you have faced the end of the barrell of a "gun" so to speak, you never look at life the same again. God Bless You and Yours!