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guyrossi

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      guyrossi
      Participant

        The doctor I am seeing is my GP.  I have a call into his office to discuss the course of treatment further.  I have no information about the thickness of the lesion, the mitotic rate, etc. 

        guyrossi
        Participant

          The doctor I am seeing is my GP.  I have a call into his office to discuss the course of treatment further.  I have no information about the thickness of the lesion, the mitotic rate, etc. 

          guyrossi
          Participant

            I wanted to thank everyone again for the important feedback you all provided.  I had a local wide excision done by a surgical oncologist at Fletcher Allen health care in Burlington Vermont.  The day after my surgery he went on vacation for 3 weeks, so we have not yet followed up.  However, the pathology report was sent to my GP and the surgeons office did call to let me know that everything looked good.

            I had the stiches removed on Wednesday of this week by a doctor I had not seen before in my GP's office.  After looking at the pathology and taking a look at my back he was very concerned.  He said I have something called dyplastic nevi syndrome.  It was his opinion that at least 6 more moles on my back should be biopsied. I have an appointment to follow up with the surgeon on August 11th.  I am also trying to schedule an appointment to see a dermatologist who specializes in melanoma. 

            The Doc on Wednesday really put a bit of a scare into me, he kept stressing to me the seriousness of this cancer and the need for aggressive follow-up. 

            I would appreciate any feedback.  Also, I have requested a copy of the latest pathology report, I have not seen this yet. 

             

             

            Thanks for the help.

             

            guyrossi
            Participant

              I wanted to thank everyone again for the important feedback you all provided.  I had a local wide excision done by a surgical oncologist at Fletcher Allen health care in Burlington Vermont.  The day after my surgery he went on vacation for 3 weeks, so we have not yet followed up.  However, the pathology report was sent to my GP and the surgeons office did call to let me know that everything looked good.

              I had the stiches removed on Wednesday of this week by a doctor I had not seen before in my GP's office.  After looking at the pathology and taking a look at my back he was very concerned.  He said I have something called dyplastic nevi syndrome.  It was his opinion that at least 6 more moles on my back should be biopsied. I have an appointment to follow up with the surgeon on August 11th.  I am also trying to schedule an appointment to see a dermatologist who specializes in melanoma. 

              The Doc on Wednesday really put a bit of a scare into me, he kept stressing to me the seriousness of this cancer and the need for aggressive follow-up. 

              I would appreciate any feedback.  Also, I have requested a copy of the latest pathology report, I have not seen this yet. 

               

               

              Thanks for the help.

               

              guyrossi
              Participant

                Thanks again for the feedback.  I have made an appointment with Fletcher Allen Medical Center in Burlington.  I will be meeting with Dr. Ted James, a surgical oncologist who specializes in melanoma.  He is part of a team of doctors who work in a specialized unit know as the Melanoma Multidisciplinary Clinic.  The Doc is also a professor at the Universtiy of Vermont Medical School.  Appointment is for June 23 at 10am.

                I am very grateful for all the advice I have received from so many concerned people.  As a Pastor I see this as answered prayer.  If it were not for so many friends and the people on this website urging me to see a specialist I most likely would not have even given this disease a second thought.  Now the prayers is that the melanoma has not spread and the initial excision has removed all the cancer.  Also, I have at least 100 moles on my torso, all of them varying sizes and shapes and colors, I imagine this is going to be quite a challenge to monitor. 

                "Trust in the Lord with all your heart, and do not lean on your own understanding. In all your ways acknowledge Him, and He will make straight your paths. Be not wise in your own eyes; fear the Lord, and turn away from evil. It will be healing to your flesh and refreshment to your bones." Proverbs 3:5-8

                guyrossi
                Participant

                  Thanks again for the feedback.  I have made an appointment with Fletcher Allen Medical Center in Burlington.  I will be meeting with Dr. Ted James, a surgical oncologist who specializes in melanoma.  He is part of a team of doctors who work in a specialized unit know as the Melanoma Multidisciplinary Clinic.  The Doc is also a professor at the Universtiy of Vermont Medical School.  Appointment is for June 23 at 10am.

                  I am very grateful for all the advice I have received from so many concerned people.  As a Pastor I see this as answered prayer.  If it were not for so many friends and the people on this website urging me to see a specialist I most likely would not have even given this disease a second thought.  Now the prayers is that the melanoma has not spread and the initial excision has removed all the cancer.  Also, I have at least 100 moles on my torso, all of them varying sizes and shapes and colors, I imagine this is going to be quite a challenge to monitor. 

                  "Trust in the Lord with all your heart, and do not lean on your own understanding. In all your ways acknowledge Him, and He will make straight your paths. Be not wise in your own eyes; fear the Lord, and turn away from evil. It will be healing to your flesh and refreshment to your bones." Proverbs 3:5-8

                  guyrossi
                  Participant

                    Thanks everyone for all the feedback.  I have called the Melanoma Center at Fletcher Allan Hospital in Burlington Vermont.  I have also spoken again with my GP. He still feels that the wide local excision can be done safely and efficiently in his office, however he understands if I want to have this done elsewhere.  Here is what the Pathology report had to say:

                    Excisional Biopsy: Malignant Melanoma, Invasive (AJCC:pT1a, pNX).
                    Clark Level:ll   – Type: Superficial Spreading
                    Breslow Thickness: .4mm (that is point 4, not 4)
                    Mitoses: Less than 1/MM SQ
                    Tumor infiltrating lymphocytes; not seen
                    Regression: Not Seen
                    Vascular invasion: not seen
                    Perineural invasion: not seen
                    Ulceration: not seen
                    Associated Nevus: Adjacent compound Melanocytic nevus is present.
                    Margins: Margins contain adjacent compound nevus. Malignant Melanoma extends to within 2.5mm of the peripheral margin. Deep margin is free.

                    So the question is this.  Based on this Pathology is it neccessary to seek a specialist or continue to let my GP handle the wide local excision (which is the next planned step)?

                    guyrossi
                    Participant

                      Thanks everyone for all the feedback.  I have called the Melanoma Center at Fletcher Allan Hospital in Burlington Vermont.  I have also spoken again with my GP. He still feels that the wide local excision can be done safely and efficiently in his office, however he understands if I want to have this done elsewhere.  Here is what the Pathology report had to say:

                      Excisional Biopsy: Malignant Melanoma, Invasive (AJCC:pT1a, pNX).
                      Clark Level:ll   – Type: Superficial Spreading
                      Breslow Thickness: .4mm (that is point 4, not 4)
                      Mitoses: Less than 1/MM SQ
                      Tumor infiltrating lymphocytes; not seen
                      Regression: Not Seen
                      Vascular invasion: not seen
                      Perineural invasion: not seen
                      Ulceration: not seen
                      Associated Nevus: Adjacent compound Melanocytic nevus is present.
                      Margins: Margins contain adjacent compound nevus. Malignant Melanoma extends to within 2.5mm of the peripheral margin. Deep margin is free.

                      So the question is this.  Based on this Pathology is it neccessary to seek a specialist or continue to let my GP handle the wide local excision (which is the next planned step)?

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