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surgery yesterday
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surgery yesterday

› Forums › General Melanoma Community › surgery yesterday

  • Post
    • August 21, 2014 at 2:22 am
    cavsnut
    Participant

      Hi all…just had a WLE and SLNB yesterday at the James Cancer Center @ Ohio State. It went well , doesn't hurt too bad today…the melanoma was on my calf and had 3 lymphnodes removed from groin for the SLNB.Initially my stage is 2a with the tumor being 2.1mm thick, miotic rate of 1, no regression or ulceration. My question is, if it has spread to the lymphnodes, should I have them all removed? From what I have read if it's only there microscopically is it in my best interest to have them all removed when it could cause more problems for me than taking the chance that the melanoma may not progress past that point? Just thinking ahead I guess…

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    • Replies
        • August 21, 2014 at 10:04 pm
        Bubbles
        Participant

          Sorry that you are having to ponder these things and hopefully your sentinel nodes will be negative! However, some good data about a lymphadenectomy in the case of positive nodes is on my blog in two posts -February 15,2014 and June 3,2014… Perhaps they may give you some helpful information.

          wishing you my best, celeste

          • August 21, 2014 at 10:04 pm
          Bubbles
          Participant

            Sorry that you are having to ponder these things and hopefully your sentinel nodes will be negative! However, some good data about a lymphadenectomy in the case of positive nodes is on my blog in two posts -February 15,2014 and June 3,2014… Perhaps they may give you some helpful information.

            wishing you my best, celeste

              • August 22, 2014 at 12:24 am
              cavsnut
              Participant

                thank you for the link to your blog, a lot of insightful information there to help me make the most informed decision if the time comes…thank you so much

                • August 22, 2014 at 12:24 am
                cavsnut
                Participant

                  thank you for the link to your blog, a lot of insightful information there to help me make the most informed decision if the time comes…thank you so much

                  • August 22, 2014 at 12:24 am
                  cavsnut
                  Participant

                    thank you for the link to your blog, a lot of insightful information there to help me make the most informed decision if the time comes…thank you so much

                  • August 21, 2014 at 10:04 pm
                  Bubbles
                  Participant

                    Sorry that you are having to ponder these things and hopefully your sentinel nodes will be negative! However, some good data about a lymphadenectomy in the case of positive nodes is on my blog in two posts -February 15,2014 and June 3,2014… Perhaps they may give you some helpful information.

                    wishing you my best, celeste

                    • August 22, 2014 at 12:54 am
                    Colleen66
                    Participant

                      Hi Cavsnut.

                      I'm being treated at the James also.  My initial Diagnosis was IIIa, Had micro met in 1 SLN removed.  Opted to have only the surface nodes removed, 7 additional.  Went on to 1 month INF. and am now IIIb and NED.  My surgeon is Dr. Agnese and she is a great surgeon and will call you back from her cell phone while driving 🙂  and Medical is Dr. Olencki.  Dr. Olencki comes from Mayo years ago where he was in Melanoma also.  He's very wise and very direct.  Dr. Agnese gave me the choices of watch and wait, full lymph disection, and partial.

                      Any choice you make will be the right one for you!

                      Good luck, Colleen 

                      • August 22, 2014 at 12:54 am
                      Colleen66
                      Participant

                        Hi Cavsnut.

                        I'm being treated at the James also.  My initial Diagnosis was IIIa, Had micro met in 1 SLN removed.  Opted to have only the surface nodes removed, 7 additional.  Went on to 1 month INF. and am now IIIb and NED.  My surgeon is Dr. Agnese and she is a great surgeon and will call you back from her cell phone while driving 🙂  and Medical is Dr. Olencki.  Dr. Olencki comes from Mayo years ago where he was in Melanoma also.  He's very wise and very direct.  Dr. Agnese gave me the choices of watch and wait, full lymph disection, and partial.

                        Any choice you make will be the right one for you!

                        Good luck, Colleen 

                          • August 22, 2014 at 5:22 pm
                          Sha20vs
                          Participant

                            I can't speak about the lymphnode removal. By the time they caught my Father in laws it was stage 4 with a heavy tumor burden. I will say you are in good hands with Dr Agnese & Dr Olenki. My father in law, by the grace of God and Doctor O, is still fighting 6 months longer than anyone expected. Also, you've come to the right place posting on this forum.

                            wishing you the best!

                            • August 22, 2014 at 5:22 pm
                            Sha20vs
                            Participant

                              I can't speak about the lymphnode removal. By the time they caught my Father in laws it was stage 4 with a heavy tumor burden. I will say you are in good hands with Dr Agnese & Dr Olenki. My father in law, by the grace of God and Doctor O, is still fighting 6 months longer than anyone expected. Also, you've come to the right place posting on this forum.

                              wishing you the best!

                              • August 22, 2014 at 5:22 pm
                              Sha20vs
                              Participant

                                I can't speak about the lymphnode removal. By the time they caught my Father in laws it was stage 4 with a heavy tumor burden. I will say you are in good hands with Dr Agnese & Dr Olenki. My father in law, by the grace of God and Doctor O, is still fighting 6 months longer than anyone expected. Also, you've come to the right place posting on this forum.

                                wishing you the best!

                              • August 22, 2014 at 12:54 am
                              Colleen66
                              Participant

                                Hi Cavsnut.

                                I'm being treated at the James also.  My initial Diagnosis was IIIa, Had micro met in 1 SLN removed.  Opted to have only the surface nodes removed, 7 additional.  Went on to 1 month INF. and am now IIIb and NED.  My surgeon is Dr. Agnese and she is a great surgeon and will call you back from her cell phone while driving 🙂  and Medical is Dr. Olencki.  Dr. Olencki comes from Mayo years ago where he was in Melanoma also.  He's very wise and very direct.  Dr. Agnese gave me the choices of watch and wait, full lymph disection, and partial.

                                Any choice you make will be the right one for you!

                                Good luck, Colleen 

                                • August 24, 2014 at 3:02 am
                                JerryfromFauq
                                Participant

                                  My personal choiced would be if only microscopic traaces was found in a lymph node to not have the complete lymph node basin removed.  There is debate in the medical community over this and there are clinical trils underway to determine a statistical bases for  resolution either way.  i would rateher have some nodesleft in the basin to catch other cancer cells tryint to follow the lymph path from the primary up to the blood supply joins the blood system above the heart.

                                  • August 24, 2014 at 3:02 am
                                  JerryfromFauq
                                  Participant

                                    My personal choiced would be if only microscopic traaces was found in a lymph node to not have the complete lymph node basin removed.  There is debate in the medical community over this and there are clinical trils underway to determine a statistical bases for  resolution either way.  i would rateher have some nodesleft in the basin to catch other cancer cells tryint to follow the lymph path from the primary up to the blood supply joins the blood system above the heart.

                                    • August 24, 2014 at 3:02 am
                                    JerryfromFauq
                                    Participant

                                      My personal choiced would be if only microscopic traaces was found in a lymph node to not have the complete lymph node basin removed.  There is debate in the medical community over this and there are clinical trils underway to determine a statistical bases for  resolution either way.  i would rateher have some nodesleft in the basin to catch other cancer cells tryint to follow the lymph path from the primary up to the blood supply joins the blood system above the heart.

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