› Forums › Cutaneous Melanoma Community › Newly Diagnosed with Lynph Node Swelling
- This topic has 6 replies, 2 voices, and was last updated 13 years, 3 months ago by
LynnLuc.
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- May 28, 2012 at 2:30 pm
Hi. I was just recently diagnosed with Malignant Melanoma the Superficial Spreading Type.
I am 32 and female with 3 boys. My oldest son was placed my me in a Christian Boy’s Home on January 25th of this year. Since then I have been depressed, with no appetite, weight loss, sore shoulder joints, stiff neck and shoulders and constant fatigue. I have had a swollen place on my lower right arm that comes and goes for the last month. It is tender and warm to the touch. I didn’t think too much of it and didn’t mention it when I saw the dermatologist to have a mole removed. While waiting for the pathology report, my lymph node under left jaw began to swell and was very sore. Actually the entire left side of my neck was sore. I truelly believed that everything was because I was so stressed about the situation with my son. Could any of this be related to the cancer? Should I try to be seen sooner than my scheduled appointment on June 6th for SNB and WLE consultation with the surgical oncologist? Or wait it out? I just don’t know what to do or what to think anymore? I had a dream last night that it had spread to my liver. Really? And also I don’t understand what mitotic rate and host inflammatory rates mean.
Below is my entire pathology report from a shave biopsy. The original area before shave biopsy was 0.5cm x 0.9 cm.1.Skin Shave Biopsy, Right Paraspinal Back: Malignant Melanoma, Breslow Thickness 0.83mm, Clark Level III
Comment: 1. There is an asymmetric compound melanocytic proliferation. On one side of the lesion there are architectural features of a dysplastic nevus. On the other side, melanocytes are markedly atypical, with enlarged irregular and confluent nests and some pagetoid spread. Similar confluent nests in the dermis extend to a depth of 0.83 mm.
Type: superficial spreading in vertical growth phase
Clark Level: III
Breslow Depth: 0.83 mm
Host Inflammatory Response: moderate, focally infiltrative
Miosis: 1per sq mm
Regression: not identified
Ulceration: not identified
Satellitosis: not identified
Vascular/lymphatic Invasion: not identified
Predominent Cell Type: spindled and epithelioid
Precursor Lesion: dysplastic nevus
Margin: The lesion extends close to a lateral edge.
Stage: pT1b NX
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- May 29, 2012 at 5:59 am
I think it's perfectly fine to wait until the 6th for your appointment. Your lymph node issues are probably not related to the melanoma because of their locations, and because you stated (I think) that the swelling goes up and down – the swelling would not go down if the melanoma was in the lymph nodes. The swelling could have been due to an infection. Perhaps you should ask your Dr. for some blood work.
Best wishes,
Harry
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- May 29, 2012 at 5:59 am
I think it's perfectly fine to wait until the 6th for your appointment. Your lymph node issues are probably not related to the melanoma because of their locations, and because you stated (I think) that the swelling goes up and down – the swelling would not go down if the melanoma was in the lymph nodes. The swelling could have been due to an infection. Perhaps you should ask your Dr. for some blood work.
Best wishes,
Harry
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- May 29, 2012 at 5:59 am
I think it's perfectly fine to wait until the 6th for your appointment. Your lymph node issues are probably not related to the melanoma because of their locations, and because you stated (I think) that the swelling goes up and down – the swelling would not go down if the melanoma was in the lymph nodes. The swelling could have been due to an infection. Perhaps you should ask your Dr. for some blood work.
Best wishes,
Harry
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- May 30, 2012 at 10:15 am
I would seriously mention the swelling of your lymph nodes to your dr. Once upon a time my biopsy was as follows:
Diagnosis: Malignant Melanoma. Clark's Level 3. Tumor Thickness 1.45mm. The Margins of Excision appear uninvolved. Consider re excision.
Microscopic Description:
Within the dermis is a tumor composed of sheets of mildly atypical melanocytes some of which are pigmented. The pattern is consistent with malignant melanoma and involves a widened papillary dermis. Unequivocal invasion into the reticular dermis is identified. There are a few atypical melanocytes within the epidermis although pagetoid spread is not a prominent component. Tumor thickness is measured 1.45 mm. The margins of excision appear uninvolved.
I am now stage 4 and currently doing well and NED.
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- May 30, 2012 at 10:15 am
I would seriously mention the swelling of your lymph nodes to your dr. Once upon a time my biopsy was as follows:
Diagnosis: Malignant Melanoma. Clark's Level 3. Tumor Thickness 1.45mm. The Margins of Excision appear uninvolved. Consider re excision.
Microscopic Description:
Within the dermis is a tumor composed of sheets of mildly atypical melanocytes some of which are pigmented. The pattern is consistent with malignant melanoma and involves a widened papillary dermis. Unequivocal invasion into the reticular dermis is identified. There are a few atypical melanocytes within the epidermis although pagetoid spread is not a prominent component. Tumor thickness is measured 1.45 mm. The margins of excision appear uninvolved.
I am now stage 4 and currently doing well and NED.
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- May 30, 2012 at 10:15 am
I would seriously mention the swelling of your lymph nodes to your dr. Once upon a time my biopsy was as follows:
Diagnosis: Malignant Melanoma. Clark's Level 3. Tumor Thickness 1.45mm. The Margins of Excision appear uninvolved. Consider re excision.
Microscopic Description:
Within the dermis is a tumor composed of sheets of mildly atypical melanocytes some of which are pigmented. The pattern is consistent with malignant melanoma and involves a widened papillary dermis. Unequivocal invasion into the reticular dermis is identified. There are a few atypical melanocytes within the epidermis although pagetoid spread is not a prominent component. Tumor thickness is measured 1.45 mm. The margins of excision appear uninvolved.
I am now stage 4 and currently doing well and NED.
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Tagged: cutaneous melanoma
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