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Margins only 3mm

Forums General Melanoma Community Margins only 3mm

  • Post
    Sarah 2345
    Participant

      Hi

      i was recently diagnosed with a melanoma Insitu and the report said I need a WLE with 10mm clearance. 

      The surgery has taken place and the histopathology report states there was no malignancy seen on surgical sample and there was a 3mm margin. 

      this 3mm margin is really concerning me. I called th doctor and he said he’d taken more out but the skin shrinks a before it gets to the lab. I’ve never heard this before. Does anyone know about this. I’m thinking for peace of mind I should have more cut out but not sure how to go about this. 

      Thanks. 

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        Janner
        Participant

          Tissue does shrink, but it is not going to shrink 7mm.  It could be that your doc is thinking that margins should be 5mm – which is the basic standard of care for in situ.  It's more feasible that he thought he was taking 5mm margins and not 1cm.  If you want more margins taken, you would just need to talk with either the same doc or a different derm or surgeon and request wider margins.  Probably an unnecessary surgery but you have to do what makes YOU comfortable.  I don't think asking for wider margins is unreasonable.

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