nail melanoma
REGISTER
The information on this site is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Content within the patient forum is user-generated and has not been reviewed by medical professionals. Other sections of the Melanoma Research Foundation website include information that has been reviewed by medical professionals as appropriate. All medical decisions should be made in consultation with your doctor or other qualified medical professional.

nail melanoma

› Forums › General Melanoma Community › nail melanoma

  • Post
    • February 17, 2015 at 8:11 pm
    rjwilson2015
    Participant

      So my husband noticed in december a pigmentation in his right thumb (not dominant thumb). The doctor seemed not to worry but gave him the choice of biopsy. He agreed. He a huge worrier he would wake up sweating at night wouldnt eat and was always reading on the internet. Well he got his results and it read as follows

      nail plate with intercorneal hemorrhage

      negative for fungal ornaisms

      right thumb bed nail plate,nail matrix and underlining tissue examined with no sognificant histopathological abnormalities.

      no melancyttic proliferation identified as multiple deeper levels examined in biopsy

      We took this as great news as the final results said all the things above. So his doctor cut above to the left and right of the pigmentation and a longer sliver behind his nail fold.. He went back two weeks later all looked good. He set another appoinment for the stitches a week later that week he did his instructions to clean it. As it dried out it began to what looks like a bruise right in the middle of the matrix  literally right in the middle of the three incisions and he is stressing again that its not a bruise thats its something else and the doctor cut around it because when he did the biopsy he literally saw nothing. So my question are,  hoping i explained it clearly :

      1. If it was a mole in the middle would the three biopsy that said no melanocytric found  pick up on it being around it and would it surface that fast (less than a month after surgery). ( no real changes in the bruise or mole )?

      2. Could it just be bruising from under the healed matrix surfacing since its dried out.

      3. Has anyone else experienced this im trying to ease his thoughts that its just a bruise?

      thank you guys for any responses and stories i look forward to hear from you guys!

    Viewing 8 reply threads
    • Replies
        • February 18, 2015 at 1:04 am
        SABKLYN
        Participant

          I think he's totally fine.  However, you may want a second opinion.  Emory Dermatology  has a solid melanoma clinic.  Seeing them or someone else may give your husband adfitional assurance and comfort

          • February 18, 2015 at 1:04 am
          SABKLYN
          Participant

            I think he's totally fine.  However, you may want a second opinion.  Emory Dermatology  has a solid melanoma clinic.  Seeing them or someone else may give your husband adfitional assurance and comfort

            • February 18, 2015 at 1:04 am
            SABKLYN
            Participant

              I think he's totally fine.  However, you may want a second opinion.  Emory Dermatology  has a solid melanoma clinic.  Seeing them or someone else may give your husband adfitional assurance and comfort

              • February 19, 2015 at 9:00 am
              JerryfromFauq
              Participant

                I would either call or email his doctor {GP, Dermatologist, Dermapathologist,, local curgeon, geneeral onologist, or melanoma oncologist (WHICH?)}.  and tell them what has happened since.    From the rport, it seems that there should be  nothing to worry about.  From what ya'll are seeing, I woould want further answers,  if it is an acral lentigimous melanoma you don't want to let it go long.  BE sure you get copies of all paperwork, surgicaal reports, radiiiiiiiiiiiialogicol reports, pathology reports  and have thne available for a second opinion.  Be sure you know where the  initial tissue is storred since it is likely that a second opinion siste will want to make their own pathological findings.   (Of course the coyld just go ahead and remove the new spot.  If melanoma ceells are found then the tumor tisssue should be tested for the c-kit ocoprotein over expression.   Hoping it is nothing, but I would wnat more information before I dropped it.

                 

                • February 19, 2015 at 9:00 am
                JerryfromFauq
                Participant

                  I would either call or email his doctor {GP, Dermatologist, Dermapathologist,, local curgeon, geneeral onologist, or melanoma oncologist (WHICH?)}.  and tell them what has happened since.    From the rport, it seems that there should be  nothing to worry about.  From what ya'll are seeing, I woould want further answers,  if it is an acral lentigimous melanoma you don't want to let it go long.  BE sure you get copies of all paperwork, surgicaal reports, radiiiiiiiiiiiialogicol reports, pathology reports  and have thne available for a second opinion.  Be sure you know where the  initial tissue is storred since it is likely that a second opinion siste will want to make their own pathological findings.   (Of course the coyld just go ahead and remove the new spot.  If melanoma ceells are found then the tumor tisssue should be tested for the c-kit ocoprotein over expression.   Hoping it is nothing, but I would wnat more information before I dropped it.

                   

                  • February 19, 2015 at 9:00 am
                  JerryfromFauq
                  Participant

                    I would either call or email his doctor {GP, Dermatologist, Dermapathologist,, local curgeon, geneeral onologist, or melanoma oncologist (WHICH?)}.  and tell them what has happened since.    From the rport, it seems that there should be  nothing to worry about.  From what ya'll are seeing, I woould want further answers,  if it is an acral lentigimous melanoma you don't want to let it go long.  BE sure you get copies of all paperwork, surgicaal reports, radiiiiiiiiiiiialogicol reports, pathology reports  and have thne available for a second opinion.  Be sure you know where the  initial tissue is storred since it is likely that a second opinion siste will want to make their own pathological findings.   (Of course the coyld just go ahead and remove the new spot.  If melanoma ceells are found then the tumor tisssue should be tested for the c-kit ocoprotein over expression.   Hoping it is nothing, but I would wnat more information before I dropped it.

                     

                    • February 19, 2015 at 3:35 pm
                    rjwilson2015
                    Participant

                      Well we met with his surgeon yesterday and he seemed somewhat complexed by it. He said it wasnt bruising by the shape and that it looks like pigmentation. we showed him the pictures of the healing process and he said its good we were taking pictures. He then showed us the nail matrix and it had no pigmentation. He read the report again and it said if pigmentation occured again another biopsy may be required. So he said we could but it would be a riskier surgery.  He offered us to go get a second opinion because he really seemed out of answers. we just find it strange that the pigmentation occured so fast and in the exact spot that he didnt cut into. My husband is very frustrated by it and i could see in his eye he wanted the biopsy. The doctor said keep an eye on it weekly take pictures and see any growth , but my husband thinks differently. I am so torn should we get a second opinion? How would pigmentation occur so fast? should he just rebiopsy so frustrating!!

                       

                      • February 19, 2015 at 3:35 pm
                      rjwilson2015
                      Participant

                        Well we met with his surgeon yesterday and he seemed somewhat complexed by it. He said it wasnt bruising by the shape and that it looks like pigmentation. we showed him the pictures of the healing process and he said its good we were taking pictures. He then showed us the nail matrix and it had no pigmentation. He read the report again and it said if pigmentation occured again another biopsy may be required. So he said we could but it would be a riskier surgery.  He offered us to go get a second opinion because he really seemed out of answers. we just find it strange that the pigmentation occured so fast and in the exact spot that he didnt cut into. My husband is very frustrated by it and i could see in his eye he wanted the biopsy. The doctor said keep an eye on it weekly take pictures and see any growth , but my husband thinks differently. I am so torn should we get a second opinion? How would pigmentation occur so fast? should he just rebiopsy so frustrating!!

                         

                          • February 20, 2015 at 12:09 am
                          SABKLYN
                          Participant

                            Hi again. Is the doctor a dermatologist? You may want to either go to a dermatologist or,have a derm-pathologist give a second opinion.  Did,the doctor tell you why he felt a second surgery would be,risky?  Cutting into the matrix could distort future nail growth but I don't  think anything more serious.  Might be a small price to pay for some peace of mind.

                            • February 20, 2015 at 12:09 am
                            SABKLYN
                            Participant

                              Hi again. Is the doctor a dermatologist? You may want to either go to a dermatologist or,have a derm-pathologist give a second opinion.  Did,the doctor tell you why he felt a second surgery would be,risky?  Cutting into the matrix could distort future nail growth but I don't  think anything more serious.  Might be a small price to pay for some peace of mind.

                              • February 20, 2015 at 12:09 am
                              SABKLYN
                              Participant

                                Hi again. Is the doctor a dermatologist? You may want to either go to a dermatologist or,have a derm-pathologist give a second opinion.  Did,the doctor tell you why he felt a second surgery would be,risky?  Cutting into the matrix could distort future nail growth but I don't  think anything more serious.  Might be a small price to pay for some peace of mind.

                              • February 19, 2015 at 3:35 pm
                              rjwilson2015
                              Participant

                                Well we met with his surgeon yesterday and he seemed somewhat complexed by it. He said it wasnt bruising by the shape and that it looks like pigmentation. we showed him the pictures of the healing process and he said its good we were taking pictures. He then showed us the nail matrix and it had no pigmentation. He read the report again and it said if pigmentation occured again another biopsy may be required. So he said we could but it would be a riskier surgery.  He offered us to go get a second opinion because he really seemed out of answers. we just find it strange that the pigmentation occured so fast and in the exact spot that he didnt cut into. My husband is very frustrated by it and i could see in his eye he wanted the biopsy. The doctor said keep an eye on it weekly take pictures and see any growth , but my husband thinks differently. I am so torn should we get a second opinion? How would pigmentation occur so fast? should he just rebiopsy so frustrating!!

                                 

                            Viewing 8 reply threads

                            Tagged: 

                            • You must be logged in to reply to this topic.
                            About the MRF Patient Forum

                            The MRF Patient Forum is the oldest and largest online community of people affected by melanoma. It is designed to provide peer support and information to caregivers, patients, family and friends. There is no better place to discuss different parts of your journey with this cancer and find the friends and support resources to make that journey more bearable.

                            The information on the forum 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.

                            Popular Topics