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Not So Patiently Awaiting Hubby’s SLN Biopsy

Forums Cutaneous Melanoma Community Not So Patiently Awaiting Hubby’s SLN Biopsy

  • Post
    jmp_0513
    Participant

      Hi all,

      (Long post alert, but I have so many thoughts in my jumbled mind!) I'm new here, but I feel so fortunate to have found this board! My husband, age 32, had a couple of suspicious moles removed from his back on Dec. 5. We found out last week that one has come back as melanoma. I don't have the full path report in front of me, but the keys I can remember are: .9 depth, clark level IV, no ulceration, no regression, mitotic rate 0/mm2.

      We met with the oncologic dermatologist on Friday, and as far as he can tell now, he feels very confident it was all removed, as all signs & margins are looking good. Of course, the only way to know for sure is to have a WLE, and they're suggesting a SLN Biopsy, as well (Darn that .1 mm that puts him over the revised .8 mm threshold for needing that)

      We aren't able to have a consult with the melanoma surgeon until Jan. 4, and the anxiety is making me sick! As if hearing this diagnosis isn't bad enough, its made even worse that we have a 2 year old at home, and I'm  pregnant with baby #2, making this anxiety prone, hormonal wife go even crazier. My husband is putting on such a brave face, saying he, too, feels confident and that this is just a bump in our journey.

      We're taking solace in our Christian faith, the fact that we're lucky enough to live in MN and be patients at the Mayo Clinic, and the fact that our dermatologist feels confident. We keep hoping that if it were something really to be super concerned about, time would be of the essence, and we wouldn't need to wait 3 weeks for the next consult. All of that though, doesn't help me feel any less like this waiting game is a bit like I'd imagine purgatory – will we be faced with the hell of cancer treatments and uncertainty, or the praise and rejoice of beating it once, diligently taking care of ourselves to hopefully catch it early again? I keep having nightmares of being a single mom 🙁 

      If you're still reading this novel :), a couple general questions about for those of you more knowledgeable than me: 1. How long does the biopsy procedure take? (It sounds like they'll do the WLE & SLNB together)  2. How long until the results come back? 3. What sort of recovery process? Will he be laid up for a few days?

      THANK YOU, and God's blessings on all of you!

      -J

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    • Replies
        Threefitty
        Participant

          You would think this would all be more urgent? Right?

          I think there is a wide of range of experience about this phase. My WLE/SLNB was like 6-7 weeks after diagnosis. Maybe someone has the cite, but the medical literature was clear that greater urgency had no bearing on outcome for a really ridiculous time beyond that, IIRC.

          I got results a week afterward b/c I was still rather oblivious to what was going on. Imagine that. You really are stressing now due to your better vigilance where it isn't "technically helping right now". So you are being well adequate vigilance-wise if that helps you take a breath.

          Neither the WLE nor SLNB required more than a day recovery in my case. Having the weekend was nice though. The surgical burden on the SLNB was so minor that having it done for the benefit of more staging information somewhat undermines the idea that it is unlucky to be "just over", even if smaller is always better.

          Treatments don't quite rise to the level of "hell" IMO. Purgatory of waiting, absolutely. 

          The fact that you may not ever hear the B word (beat), should not be concerning. Perhaps others feel differently, but I'm not sure it is in the melanoma doctor's vocabulary, for reasons that we do need to understand.

          Good luck through the wait. May your faith be strengthened through testing. After going through this phase, it's just not quite so….(word of the day)…Manichean.

            jmp_0513
            Participant

              Thank you for your reply! It helps to hear from others who have "been there, done that," so to speak. I'm trying to prepare myself for what may be to come, yet hope and pray we can bypass that for now. While you underwent (or are undergoing treatments), have you been able to continue working? Living a relatively "normal" life? Best of luck to you!

            Julie in SoCal
            Participant

              Hi J and welcome!  I trust you'll find this a place of wisdom and an occasional laugh or two.  A really fine group of people are on this board.

              Yes, waiting is the pits!!  And I'm sorry to say that while it might get a tad easier with time and practice, that tad is very small.  Waiting just sucks.

              But if it's a comfort, there's no evidence that rushing to do a WLE and SNB stops further growth.  For the most part, melanoma at this stage is relatively slow growing.  So a week or two or three doesn't make a big difference on the outcome.  Just on the heart and emotions of the patient.  Yes, it still sucks.

              And of course as you're finding,  waiting is no fun and  not fo the faint of heart and mind.  Like you my Christian faith has been the foundation of my getting through this. In clinging to Jesus and taking my tears and fears with me  I have had to rethink and reexperience my theology of suffering and look at my expectations of what it is to be a follower of Jesus. It has been good, but of course, hard.  I much prefer the comfortable life as the sheep at ease in the green pasture  than the follower whose leader says "In this world you will have trouble, but have hope I have overcome this trouble" (my paraphrase).  

              While I don't believe there is some mystical goodness or wisdom cancer sufferers have just by the fact of having cancer, there are some things you can learn.  Suffering is just a great teacher.

              I have also earned to listen to and translate some of the awkward (and sometimes ridiculous) things people say into the expressions of love that their heart was trying to say but their mouth got in the way.  And the in the process learned to call BS.  I've found new friends and depth in old friends I didn't know existed.  I've learned which of my friends will stand with me in this new place and who's good for sitting in silence (because words just do the silence justice) and who is good for a hug and laugh.  Of course I've also found who can't handle my anger and doubt.  Lean into your community.  You may be surprised what you'll find there.

              Ok this is long enough, and not really what you asked for, but know you have friends here and no matter what happens, God is with you, and that is enough.

              May you find new depths of Joy and Peace running to the God who is with us.

              Shalom,

              Julie

                jmp_0513
                Participant

                  Thank you, Julie! I have to agree with you and your comment about suffering being a great teacher. In just this past week, I have had much more clear perspectives brought into my life, when I didn't even know I needed it! I guess that can be considered a silver-lining through this process thus far. 

                  Julie in SoCal
                  Participant

                    Yup.

                    But all this said, I've been at this for 10 years now and have continued to work and live a somewhat "normal" life.  I've had to make changes in my work situation, (from doing field work in Asia to a sit down job I can do at home (virtual team are a blessing)) and when I'm in treatment I have to use my sick days a little more creatively (I have a wonderful boss).  But it works. 

                    Depending on where the WLE / SNB is at, (groins are a little more difficult than arm pits) your husband should be back on his feet in 3-10 or so days.  

                    Treatment after that will depend on the SNB, but if he needs further treatment it the chemo hell of yesteryear.  But then I'm getting ahead of myself.  

                    Shalom,

                    Julie

                  EricaInMS
                  Participant

                    It's been 16 years since we had the surgery, so things may have changed.  As I recall, they did a quick check of the SNB immediately, so that if there was melanoma they could take out the adjacent nodes and not have to do another surgery.  In our case, melanoma was found in the node when they did a microscopic analyis.  I think the second surgery was ~2 weeks after the first.

                    With your husband's mole on his back, I wouldn't think that there will be much recovery time. Do you know if he will be getting a skin graft?  Ours was on the front of the ankle, which has no "flesh" to support the graft.  David's graft became infected, and we did not know what to watch out for and he lost the graph.  Ultimately we allowed the skin to grow back on its own.  You shouldn't have those issues with the mole on the back.

                    I feel your pain with this diagnosis while you have such a young family.  We found out about the melanoma and our first pregnancy on the same day.  Crossing my fingers that the SNB is negative!

                      jmp_0513
                      Participant

                        Thank you, Erica! Best wishes to you and your hubby! 

                      mandyjill
                      Participant

                        Hi there.  I had the WLE and SLNB done about a year and half ago.  I think it took about an hour and half.  The recovery from it was really  no big deal.  It was about a week before I got the results back on the biopsy.

                        ed williams
                        Participant

                          Hi Jmp 0513, here is a link that explains the process of getting WLE and SLNB and the reason for doing them. The presentation is by a surgeon in Michigan and the first part of the video covers the history of development of surgery on sentinel nodes. I hope you find it helpful!!! Ed   https://www.youtube.com/watch?v=p_T186r5gIE

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