Doctor insights on:
Gp wants to remove 2 moles; didn't check for more suspicious ones elsewhere.Family history of melanoma.Is dermatologist better to examine/remove moles?
Biopsy shows spitz nevus cells under another type of benign mole. Melenoma can't be ruled out yet. Can melanoma grow under a benign mole?
Yes: In fact, this is fairly common. No one knows where spitz nevus leaves off and a melanoma capable of metastasizing begins. This is one of the hardest calls in pathology, and some say it's impossible. The burning question will be whether to do additional surgery. ...Read moreSee 2 more doctor answers
Aggressive cancer: Melanoma develops from melanocytes cells of the lower layers in the skin. These cells produce pigments and the color of skin. When they form into cancer it can grow radially and deeply which can be dangerous as it can subsequently spread to other areas of the body. There are genetic predispositions as well as ultraviolet radiation exposure and sunburns are risk factors. ...Read moreSee 4 more doctor answers
Please tell me if a lentiginous junctional dysplastic nevus is really melanoma in situ. My doctor won't respond.
There is a subtle di: Melanoma in situ is different than a dysplastic nevus, but it is a continuum. They both need to be treated in the same manner, re-excision with a negative margin.But remember one is a cancer the other one is a precursor of cancer. So it has long term health implications for health insurance etc. ...Read moreSee 1 more doctor answer
Melanoma: Things to do about melanoma: 1. Prevention: avoid sun exposure between 10am & 4pm. Use broad-spectrum sunscreen daily. 2. Detection: get to know your skin, do monthly skin self exam, including genital/perianal area. Show new or changing moles to dermatologist asap if melanoma is diagnosed early, chances of cure are high. No truly effective tx for late/metastatic melanoma. Early detection is key. ...Read moreSee 1 more doctor answer
Yes and No: Certain genetic conditions may predispose someone to malignant melanoma. But there are certainly things that can be done to boost one's immune system to fight cancers. And those with irregular moles should be seen at least yearly by their doctor or dermatologist to remove suspicious moles. Therefore, preventing a metastatic process. ...Read moreSee 2 more doctor answers
NO: It only accomplishes removal of the moles. One prevents melanoma by careful avoidance of sun damage as a youth (think of the teen years), not using tobacco products and having a negative family history. If you have many moles, it is wise to seek an annual dermatology consultation with biopsy of suspicious lesions. ...Read moreSee 1 more doctor answer
Mri shows benign looking 1.6 cm supraclavicular node-dr recommends I see hemotologist oncologist. Possibly malignant even if benign looking? Lymphoma?
Excision.: If this node is easily accessible, then it should be removed for definitive diagnosis. Tests like ultrasound and MRI can suggest benignity or malignancy, but taking it out and sending it to the lab would give us the most accurate and reliable answer. Bring the MRI to a surgeon and see about having it removed. ...Read more
Controversial: A very good question, and the answer is not clear. Some experts believe that pregnancy increases the risk of melanoma and advise women with a melanoma history to avoid pregnancy, or at least wait several years. Others say the evidence to support that recommendation is not convincing. Until we have a definite answer i would be very cautious; if you get pregnant, have your skin examined frequently. ...Read moreSee 1 more doctor answer
No: Asymmetry is one sign of melanoma (along with non-smooth borders, color, and size (diameter= abcd). But many benign moles are asymmetric, as well. Have it checked out. If a melanoma, the office visit may be life saving - if benign, you will be reassured and can stop worrying. ...Read moreSee 3 more doctor answers
Please explain: 5 CM irregular splenic lesion. Differential diagnosis lymphoma and splenic metastasis. Could this be cancer?
Yes: Both are forms of cancer. It could also be a benign hemangioma, an epidermoid cyst, an infart (how's your overall vascular health?) or any of a number of other entities. What to do next will depend on your history and physical exam. You're in no immediate danger but this very much needs to be followed up. Many of the lymphomas especially are very curable with today's biotech. ...Read more
Studies are underway: There are studies currently underway of this drug in certain cases of stage IV melanoma. It is only available in a research studies, in certain locations, and only patients who meet strict entry criteria are eligible. Patients and families can find these studies listed at www.clinicaltrials.gov ...Read more
Not sure: I'm really not sure how to answer your question. If you have been diagnosed by a pathologist with "cancer moles" that could mean that you have skin cancer, but most doctors do not use a term like "cancer mole". Doctors usually use more specific terms like "squamous cell carcinoma", "basal cell carcinoma", "melanoma", etc. If you could tell me exactly what the pathologist said, i could explain. ...Read more