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New here please any help appreciated

Forums Cutaneous Melanoma Community New here please any help appreciated

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    Fortes
    Participant

      When I was pregnant with my little one (she is 18months now ) I noticed a new mole that got bigger within few months . Although this mole was very tiny (4mm) . It remained the same size for the past year. No irregularities, one colour and circle.

      2 months ago I was at the dermatologist for another reason with my dad. I decided to show the mole to her . She said it looks fine but I think you should remove it . Fast forward 14 days after WLE received a call saying That it’s melanoma in Situ and to go for 2nd wle  . 

      I couldnt believe that tiny little spot could have killed me . I’m only 30.

      report said;”sections show asymmetrical proliferation of atypical melanocytes. Arranged in nests in the epidermis and single Infiltritive cells. No evidence of dermal invasion. diagnosis melanoma in situ.”

      dermatologist explained that I should not worry it’s completely removed and to go for check ups every 6 months . 

      The problem I can’t stop thinking and reading on the internet that I’m at risk for other melanomas, for breast or pancreatic or other cancers. I read about a link of other cancers with melanoma that I’m not sure if it’s because of the BRCA gene. I have no family history of melanoma or other cancers. I’m terrified and not sure if I’m over reacting or not. I know that insitu is great and should be thankful but my anxiety is not cooperating,  i don’t know what type of melanoma it was and of it was sun related or not. Could it be that it was overdiagnosed? 

      Thank you for your time reading my long question 

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        Janner
        Participant

          Risk for other melanoms runs about 10%.  Watch your moles for change.  Watch your body for any new and different "ugly duckling" moles.  About 75% of melanomas arise on new moles.  In situ is where you want to be.  It's possible that the hormones caused your little melanoma to start but it didn't appear that your body was in any hurry for it to progress any further.

          Risk for other cancers – pretty unlikely.  Both the genes that put you at high risk for pancreatic cancer CDKN2A and the BRCA genes have very high familial prevalence.  In other words, since your family has shown no indication of a prevalence of cancer, then it is extremely unlikely you have the genetic defects related to those cancers.  They would have shown up somewhere/somehow.  However, if you do get pregnant again, I would definitely increase the derm visits and get watched a lot more closely.

          The portion of the report you quoted does not tell us the sub-type of melanoma.  There is no way to know how your melanoma was caused – sun exposure is a major factor but it's not the only factor.  

          My advice is to stop reading the internet.  It will only INCREASE anxiety.  Monitor your own body – you are your best advocate.  But stay away from the internet as it isn't the best place to be for you and most of it doesn't apply to you anyway.   As for being overdiagnosed, it's always possible.  A second opinion is the best way to go if that is what you are concerned about.  You've had a scare but you are in a good spot catching yours early.  You have an excellent prognosis – just be sun aware and body aware and LIVE LIFE!

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