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Staging wide excision

Forums General Melanoma Community Staging wide excision

  • Post
    Mamasgotsomescara
    Participant

      Hi all. I was just diagnosed with melanoma and have surgery next week. A staging wide excision. The tumor is right on my lower shin on my leg. I am looking for anyone who has had this. What can I expect recovery wise? Dr said it's a tough spot because there is very little skin to close the wound. I have a 12 week old baby and a 3 year to care for and wondering how many days I will need child care. They are going about 5mm deep. Any info greatly appreciated!!!!! 

    Viewing 5 reply threads
    • Replies
        Janner
        Participant

          I have had several WLE (wide local excisions) on my lower legs.  One mid leg right on the shin bone.   It was very tight, but it stopped me from doing nothing (including playing tennis after the first few days).  I went back to work the same day.  Typically, the excision will be 2-3 inches but the length depends on how easy it is to close the wound.  They generally remove the depth all the way to the muscle fascia on any WLE.  This is just a minor inconvenience in terms of the wound.  I'd possibly ice it whenever you can get time to sit down.  Elevate also when possible at least the first few days.   I'm not sure you really need any child care if you can work your day to elevate ice during naps, feedings, meals, etc.  Just make some time for yourself.  Some people think this is a big deal caring for the wound, but I've just found them to be annoying.  I've had 8 or 9 of these – half of them on my legs. 

          Janner
          Participant

            I have had several WLE (wide local excisions) on my lower legs.  One mid leg right on the shin bone.   It was very tight, but it stopped me from doing nothing (including playing tennis after the first few days).  I went back to work the same day.  Typically, the excision will be 2-3 inches but the length depends on how easy it is to close the wound.  They generally remove the depth all the way to the muscle fascia on any WLE.  This is just a minor inconvenience in terms of the wound.  I'd possibly ice it whenever you can get time to sit down.  Elevate also when possible at least the first few days.   I'm not sure you really need any child care if you can work your day to elevate ice during naps, feedings, meals, etc.  Just make some time for yourself.  Some people think this is a big deal caring for the wound, but I've just found them to be annoying.  I've had 8 or 9 of these – half of them on my legs. 

              Mamasgotsomescara
              Participant

                Thank you so much for the reply! I am super active and was freaking out that I would be on crutches and bed ridden. God willing it hasn't spread and this will be the only surgery. Thanks for sharing!

                Mamasgotsomescara
                Participant

                  Thank you so much for the reply! I am super active and was freaking out that I would be on crutches and bed ridden. God willing it hasn't spread and this will be the only surgery. Thanks for sharing!

                  Mamasgotsomescara
                  Participant

                    Thank you so much for the reply! I am super active and was freaking out that I would be on crutches and bed ridden. God willing it hasn't spread and this will be the only surgery. Thanks for sharing!

                  Janner
                  Participant

                    I have had several WLE (wide local excisions) on my lower legs.  One mid leg right on the shin bone.   It was very tight, but it stopped me from doing nothing (including playing tennis after the first few days).  I went back to work the same day.  Typically, the excision will be 2-3 inches but the length depends on how easy it is to close the wound.  They generally remove the depth all the way to the muscle fascia on any WLE.  This is just a minor inconvenience in terms of the wound.  I'd possibly ice it whenever you can get time to sit down.  Elevate also when possible at least the first few days.   I'm not sure you really need any child care if you can work your day to elevate ice during naps, feedings, meals, etc.  Just make some time for yourself.  Some people think this is a big deal caring for the wound, but I've just found them to be annoying.  I've had 8 or 9 of these – half of them on my legs. 

                    momof4boys
                    Participant

                      I had mine done about a year ago on the back of my calf. They had to go down pretty far because it was so deep but it didn't require a skin graft. I had a lot harder time then the previous person and there was no way I could work for awhile. I can't remember exactly but was on crutches for at least a week if not a little longer. Then I could just use my brace but surely wasn't running around with it. I also have children, 4 boys in fact and my family had to help me out quite a bit for 1-2 weeks. I'm not on here trying to scare you because every person is different but I just didn't want you to think this was no big deal either. Since you have 2 small children I would sure line up some help for the first week. If someone can help you with some childcare and some meals so you can just rest and heal that would probably be best. You can always tell people later that you don't need it if you don't but better to be safe than sorry. The pain meds alone will probably make you tired. I'm guessing they will take out your sentinel node out of your groin? Because that will be a little sore as well. I will say a prayer for you next week, let us know how everything turns out!

                      momof4boys
                      Participant

                        I had mine done about a year ago on the back of my calf. They had to go down pretty far because it was so deep but it didn't require a skin graft. I had a lot harder time then the previous person and there was no way I could work for awhile. I can't remember exactly but was on crutches for at least a week if not a little longer. Then I could just use my brace but surely wasn't running around with it. I also have children, 4 boys in fact and my family had to help me out quite a bit for 1-2 weeks. I'm not on here trying to scare you because every person is different but I just didn't want you to think this was no big deal either. Since you have 2 small children I would sure line up some help for the first week. If someone can help you with some childcare and some meals so you can just rest and heal that would probably be best. You can always tell people later that you don't need it if you don't but better to be safe than sorry. The pain meds alone will probably make you tired. I'm guessing they will take out your sentinel node out of your groin? Because that will be a little sore as well. I will say a prayer for you next week, let us know how everything turns out!

                          Mamasgotsomescara
                          Participant

                            Thank you for the feedback. My daughter is only 12 weeks old and my son is 3. I never dreamed we would be dealing with something like this so soon after a new baby, or ever at all really. My husband took four days off and hopefully that will be enough. Hoping for the best but preparing for the worst. Thanks for keeping me in your prayers. 

                            Mamasgotsomescara
                            Participant

                              Thank you for the feedback. My daughter is only 12 weeks old and my son is 3. I never dreamed we would be dealing with something like this so soon after a new baby, or ever at all really. My husband took four days off and hopefully that will be enough. Hoping for the best but preparing for the worst. Thanks for keeping me in your prayers. 

                              Janner
                              Participant

                                Please be aware that I am assuming your situation is much different than the previous poster.  You didn't state you were going to have a sentinel node biopsy.  This means your lesion would be considered quite thin.  That is very different from the previous poster who had a very deep lesion.  The margins are different for different size lesions.  Margins for her lesion would be twice as much as you need.

                                Now, if you know the depth of your lesion, we could confirm this and give a more accurate picture of what you might expect.  I had to make some assumptions given your lack of information about staging.  However, I stand by my experiences for less invasive lesions on the shin and lower leg.

                                Mamasgotsomescara
                                Participant

                                  Correct only having the excision no other surgery yet. They think it is siti and hopefully caught it really early. 

                                  Janner
                                  Participant

                                    In situ IS early (Stage 0) and has a great prognosis.  Everyone is different, but the size of my excisions may actually be larger than yours will be.  The one on my shin bone required 1cm margins and in situ only requires 5mm.  The other poster required at least 2cm margins.  So truthfully, I think this will be an inconvenience and you should do fine.

                                    Janner
                                    Participant

                                      In situ IS early (Stage 0) and has a great prognosis.  Everyone is different, but the size of my excisions may actually be larger than yours will be.  The one on my shin bone required 1cm margins and in situ only requires 5mm.  The other poster required at least 2cm margins.  So truthfully, I think this will be an inconvenience and you should do fine.

                                      Janner
                                      Participant

                                        In situ IS early (Stage 0) and has a great prognosis.  Everyone is different, but the size of my excisions may actually be larger than yours will be.  The one on my shin bone required 1cm margins and in situ only requires 5mm.  The other poster required at least 2cm margins.  So truthfully, I think this will be an inconvenience and you should do fine.

                                        Mamasgotsomescara
                                        Participant

                                          Correct only having the excision no other surgery yet. They think it is siti and hopefully caught it really early. 

                                          Mamasgotsomescara
                                          Participant

                                            Correct only having the excision no other surgery yet. They think it is siti and hopefully caught it really early. 

                                            Janner
                                            Participant

                                              Please be aware that I am assuming your situation is much different than the previous poster.  You didn't state you were going to have a sentinel node biopsy.  This means your lesion would be considered quite thin.  That is very different from the previous poster who had a very deep lesion.  The margins are different for different size lesions.  Margins for her lesion would be twice as much as you need.

                                              Now, if you know the depth of your lesion, we could confirm this and give a more accurate picture of what you might expect.  I had to make some assumptions given your lack of information about staging.  However, I stand by my experiences for less invasive lesions on the shin and lower leg.

                                              Janner
                                              Participant

                                                Please be aware that I am assuming your situation is much different than the previous poster.  You didn't state you were going to have a sentinel node biopsy.  This means your lesion would be considered quite thin.  That is very different from the previous poster who had a very deep lesion.  The margins are different for different size lesions.  Margins for her lesion would be twice as much as you need.

                                                Now, if you know the depth of your lesion, we could confirm this and give a more accurate picture of what you might expect.  I had to make some assumptions given your lack of information about staging.  However, I stand by my experiences for less invasive lesions on the shin and lower leg.

                                                Mamasgotsomescara
                                                Participant

                                                  Thank you for the feedback. My daughter is only 12 weeks old and my son is 3. I never dreamed we would be dealing with something like this so soon after a new baby, or ever at all really. My husband took four days off and hopefully that will be enough. Hoping for the best but preparing for the worst. Thanks for keeping me in your prayers. 

                                                momof4boys
                                                Participant

                                                  I had mine done about a year ago on the back of my calf. They had to go down pretty far because it was so deep but it didn't require a skin graft. I had a lot harder time then the previous person and there was no way I could work for awhile. I can't remember exactly but was on crutches for at least a week if not a little longer. Then I could just use my brace but surely wasn't running around with it. I also have children, 4 boys in fact and my family had to help me out quite a bit for 1-2 weeks. I'm not on here trying to scare you because every person is different but I just didn't want you to think this was no big deal either. Since you have 2 small children I would sure line up some help for the first week. If someone can help you with some childcare and some meals so you can just rest and heal that would probably be best. You can always tell people later that you don't need it if you don't but better to be safe than sorry. The pain meds alone will probably make you tired. I'm guessing they will take out your sentinel node out of your groin? Because that will be a little sore as well. I will say a prayer for you next week, let us know how everything turns out!

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