Forum Replies Created
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- December 31, 2016 at 6:46 pm
Just to put your mind at ease there are a few pub med studies of the long term prognosis of these lesions. One study looked at 157 patients and followed them over 9.1 years. Only 1 patient had a distant metastases…and that patient also had a separate superficial spreading melanoma. At 9.1 years none of the patients had passed away. Your lymph node may be enlarged because of the biopsy. When I had my spitz removed my wound was nasty !!! If the lesion was excised and margins clear it is very very rare that this will haunt you.
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- December 31, 2016 at 6:46 pm
Just to put your mind at ease there are a few pub med studies of the long term prognosis of these lesions. One study looked at 157 patients and followed them over 9.1 years. Only 1 patient had a distant metastases…and that patient also had a separate superficial spreading melanoma. At 9.1 years none of the patients had passed away. Your lymph node may be enlarged because of the biopsy. When I had my spitz removed my wound was nasty !!! If the lesion was excised and margins clear it is very very rare that this will haunt you.
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- December 31, 2016 at 6:46 pm
Just to put your mind at ease there are a few pub med studies of the long term prognosis of these lesions. One study looked at 157 patients and followed them over 9.1 years. Only 1 patient had a distant metastases…and that patient also had a separate superficial spreading melanoma. At 9.1 years none of the patients had passed away. Your lymph node may be enlarged because of the biopsy. When I had my spitz removed my wound was nasty !!! If the lesion was excised and margins clear it is very very rare that this will haunt you.
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- December 30, 2016 at 3:47 pm
I was 35 when I had a spitz removed. It was tiny maybe 3-4 mm, pink shiny bump. I noticed it in the summer and it annoyed me because I didn't know what it was. It never grew and last feb had a WLE to remove it. I think my dermatopathologist did 3-4mm margins ( I may be wrong) I actually spoke with my dermatopathologist because I was very nervous about it as well. He explained in an adult you can never simply diagnose a normal spitz. It will always be spitz Nevus with a differential diagnosis depending on the characteristics. He said mine was as close to a normal spitz as possible, small, symmetrical, shiny, pinkish lesion with no growth, he then explained the pathology of mine but that was so over my head .he explained that the differential diagnosis was atypical spitz. Had my lesion had other funky characteristics, large, growing, multicolored, bleeding, etc and the pathology read different the diagnosis would have been atypical spitz with a dif diagnosis of melanoma and he would have sent my slides out to an expert for a second opinion. What put my mind at ease was he said your lesion was so small even if it was a melanoma the likely hood this will haunt you is so slim. The margins would have been slightly larger but with my WLE I had clear margins. I do not think you should worry too much as you received the appropriate standard of care !
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- December 30, 2016 at 3:47 pm
I was 35 when I had a spitz removed. It was tiny maybe 3-4 mm, pink shiny bump. I noticed it in the summer and it annoyed me because I didn't know what it was. It never grew and last feb had a WLE to remove it. I think my dermatopathologist did 3-4mm margins ( I may be wrong) I actually spoke with my dermatopathologist because I was very nervous about it as well. He explained in an adult you can never simply diagnose a normal spitz. It will always be spitz Nevus with a differential diagnosis depending on the characteristics. He said mine was as close to a normal spitz as possible, small, symmetrical, shiny, pinkish lesion with no growth, he then explained the pathology of mine but that was so over my head .he explained that the differential diagnosis was atypical spitz. Had my lesion had other funky characteristics, large, growing, multicolored, bleeding, etc and the pathology read different the diagnosis would have been atypical spitz with a dif diagnosis of melanoma and he would have sent my slides out to an expert for a second opinion. What put my mind at ease was he said your lesion was so small even if it was a melanoma the likely hood this will haunt you is so slim. The margins would have been slightly larger but with my WLE I had clear margins. I do not think you should worry too much as you received the appropriate standard of care !
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- December 30, 2016 at 3:47 pm
I was 35 when I had a spitz removed. It was tiny maybe 3-4 mm, pink shiny bump. I noticed it in the summer and it annoyed me because I didn't know what it was. It never grew and last feb had a WLE to remove it. I think my dermatopathologist did 3-4mm margins ( I may be wrong) I actually spoke with my dermatopathologist because I was very nervous about it as well. He explained in an adult you can never simply diagnose a normal spitz. It will always be spitz Nevus with a differential diagnosis depending on the characteristics. He said mine was as close to a normal spitz as possible, small, symmetrical, shiny, pinkish lesion with no growth, he then explained the pathology of mine but that was so over my head .he explained that the differential diagnosis was atypical spitz. Had my lesion had other funky characteristics, large, growing, multicolored, bleeding, etc and the pathology read different the diagnosis would have been atypical spitz with a dif diagnosis of melanoma and he would have sent my slides out to an expert for a second opinion. What put my mind at ease was he said your lesion was so small even if it was a melanoma the likely hood this will haunt you is so slim. The margins would have been slightly larger but with my WLE I had clear margins. I do not think you should worry too much as you received the appropriate standard of care !
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- October 31, 2016 at 11:23 pm
Thank you for the reply. I did not know if melanoma could show up on the skin and then not change on the skin while spreading inside. The spot has not changed on him I was just worried because it showed up after we were in the sun and sort of sticks out. Maybe it just bothers me bcause it's on his nose.
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- October 31, 2016 at 11:23 pm
Thank you for the reply. I did not know if melanoma could show up on the skin and then not change on the skin while spreading inside. The spot has not changed on him I was just worried because it showed up after we were in the sun and sort of sticks out. Maybe it just bothers me bcause it's on his nose.
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- October 31, 2016 at 11:23 pm
Thank you for the reply. I did not know if melanoma could show up on the skin and then not change on the skin while spreading inside. The spot has not changed on him I was just worried because it showed up after we were in the sun and sort of sticks out. Maybe it just bothers me bcause it's on his nose.
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- October 1, 2016 at 5:28 pm
Thank you Deb, one more question if you don't mind. At the time both my dernatologist and the dermatopathologist were very happy that the second biopsy had completely clear margins. even if the small probability that this was a misdiagnosed spitz and this was a melanoma does having clear margins mean anything ? I'm reading a bunch of stories about people with clear margins that ended up having their cancer return? Or is this a rare occurrence ?
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- October 1, 2016 at 5:28 pm
Thank you Deb, one more question if you don't mind. At the time both my dernatologist and the dermatopathologist were very happy that the second biopsy had completely clear margins. even if the small probability that this was a misdiagnosed spitz and this was a melanoma does having clear margins mean anything ? I'm reading a bunch of stories about people with clear margins that ended up having their cancer return? Or is this a rare occurrence ?
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- October 1, 2016 at 5:28 pm
Thank you Deb, one more question if you don't mind. At the time both my dernatologist and the dermatopathologist were very happy that the second biopsy had completely clear margins. even if the small probability that this was a misdiagnosed spitz and this was a melanoma does having clear margins mean anything ? I'm reading a bunch of stories about people with clear margins that ended up having their cancer return? Or is this a rare occurrence ?