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Is Primary lymph node assessment a possibility after the wide exicision surgery?
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Is Primary lymph node assessment a possibility after the wide exicision surgery?

› Forums › Cutaneous Melanoma Community › Is Primary lymph node assessment a possibility after the wide exicision surgery?

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    • March 28, 2017 at 7:58 pm
    FeelingLonely
    Participant

      My mom is identified with Stage 1B Melanoma, her primary tumor is on her face – below the right eye and towards the side. The doctor performed a wide excision biopsy along with surgical removal of the mole. Tthe biopsy came back positive. Here are the details.

      Clarks level : II

      Pathological staging : PT1B

      Miotic rate : 1 mm

      Breslow width : 1 mm

      They did not do a sentinel node biopsy the first time around and I hear it is not a possibility now.

      The margins are not clear and showing some activity of atypical cells/melanocytes. They did not remove the margins the first time since the site is closer to the eyes. so they have scheduled another surgery in 2 weeks to go deeper /wider in there and get out the remaining stuff. 

      Is there any lymph node assessment possible at this point since the wide excision has already been performed changing the anatomy?

      Also Is it okay to wait until 3 weeks (since the first biopsy result) to do the second incision/surgical removal? The surgeon is going on vacation and he says it's fine to wait. Should we try pushing harder?

       

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