justme123

Hi Everyone, thanks for the info.   They decided to just put us on a "watch and see"  schedule.  No radiatoin, no biopsy.  We are supposed to just keep an eye on things now.   thanks all for the input!

Hi Everyone, thanks for the info.   They decided to just put us on a "watch and see"  schedule.  No radiatoin, no biopsy.  We are supposed to just keep an eye on things now.   thanks all for the input!

Hi Everyone, thanks for the info.   They decided to just put us on a "watch and see"  schedule.  No radiatoin, no biopsy.  We are supposed to just keep an eye on things now.   thanks all for the input!

Thanks all for your comments!

So I have done a bunch more reading on this… I have access to all scientific journals etc which is really nice.   It looks like there are a number of recent (2010-2012) papers citing that adjuvent radiation therapy is being recommended for even type I melanoma after wide excision biopsy.  About 45- >50 Gy total dose, fractionated in 1.8-2Gy doses.  This is especially for head/neck melanoma's since lymph node disection or even biopsy isn't recommended.  Will be interesting to see what the oncologist has to say next week.

Thanks all for your comments!

So I have done a bunch more reading on this… I have access to all scientific journals etc which is really nice.   It looks like there are a number of recent (2010-2012) papers citing that adjuvent radiation therapy is being recommended for even type I melanoma after wide excision biopsy.  About 45- >50 Gy total dose, fractionated in 1.8-2Gy doses.  This is especially for head/neck melanoma's since lymph node disection or even biopsy isn't recommended.  Will be interesting to see what the oncologist has to say next week.

Thanks all for your comments!

So I have done a bunch more reading on this… I have access to all scientific journals etc which is really nice.   It looks like there are a number of recent (2010-2012) papers citing that adjuvent radiation therapy is being recommended for even type I melanoma after wide excision biopsy.  About 45- >50 Gy total dose, fractionated in 1.8-2Gy doses.  This is especially for head/neck melanoma's since lymph node disection or even biopsy isn't recommended.  Will be interesting to see what the oncologist has to say next week.

mitotic rate was <1  So I think 1A.  

Worst part right now is not knowing… I am hoping the radiation oncologist is just going to send him for CT or PET or MRI or something?? 

Thanks all for your comments.  very helpful!

mitotic rate was <1  So I think 1A.  

Worst part right now is not knowing… I am hoping the radiation oncologist is just going to send him for CT or PET or MRI or something?? 

Thanks all for your comments.  very helpful!

mitotic rate was <1  So I think 1A.  

Worst part right now is not knowing… I am hoping the radiation oncologist is just going to send him for CT or PET or MRI or something?? 

Thanks all for your comments.  very helpful!

I feel like I don't know anything… My understanding is that at Breslow 0.19 and Clark II he is Type1a, however, without the sentinel lymph node biopsy I don't think there is any way to accurately stage is there?  We don't live in a large centre (only about 200,000 people)… I don't know if there are specifically any melanoma specialists in our city.  …and we're in Canada, so we pretty much just have to take whatever treatment we can get, unless we choose to go to the US.  Next week will be his first meeting with an oncologist, so hopefully that will give us some more info. 

Thanks for the reply.

I feel like I don't know anything… My understanding is that at Breslow 0.19 and Clark II he is Type1a, however, without the sentinel lymph node biopsy I don't think there is any way to accurately stage is there?  We don't live in a large centre (only about 200,000 people)… I don't know if there are specifically any melanoma specialists in our city.  …and we're in Canada, so we pretty much just have to take whatever treatment we can get, unless we choose to go to the US.  Next week will be his first meeting with an oncologist, so hopefully that will give us some more info. 

Thanks for the reply.

I feel like I don't know anything… My understanding is that at Breslow 0.19 and Clark II he is Type1a, however, without the sentinel lymph node biopsy I don't think there is any way to accurately stage is there?  We don't live in a large centre (only about 200,000 people)… I don't know if there are specifically any melanoma specialists in our city.  …and we're in Canada, so we pretty much just have to take whatever treatment we can get, unless we choose to go to the US.  Next week will be his first meeting with an oncologist, so hopefully that will give us some more info. 

Thanks for the reply.