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Doctor insights on: Scalp And Neck Melanoma

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If I had a melanoma on the back of my neck and it spread, which specific type of neck lymph nodes would it likely first spread to?

If I had a melanoma on the back of my neck and it spread, which specific type of neck lymph nodes would it likely first spread to?

Sentinel node: If surgical exploration is needed to look for lymph node draining the site of the lesion, a dye or radioactive isotope is injected at the site of the lesion and the dye or radioactivity is tracked to identify the first lymph node where the marker ends up. ...Read more

Scalp (Definition)

Scalp is the part of the skin on the skull, deeply attached to the skull and has the hair shafts from it.Rest of the skin in the head like facial skin(beard) has only 2 layers -epidermis and dermis. Scalp has 5 different layers unlike facial skin/rest of skin all over body .Scalp-s-epidermis, c-conn.Tissue, a-aponeurosis, l-loose areolar conn. Tissue and p- pericranium attached ...Read more


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I have what looks like a freckel in my scalp a liitle more orange looking abiut 3mm by 3mm flat, I am having it checked in two weeks, melanoma?

I have what looks like a freckel in my scalp a liitle more orange looking abiut 3mm by 3mm flat, I am having it checked in two weeks, melanoma?

Probably not: This is probably not melanoma but it is good that you are having it checked out particularly if it is new or if you think it has changed. Any lesion that is a-asymmetric, b- has irregular borders, c- has color variation, or d- looks different (is changing) should be considered suspicious. ...Read more

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Would an MRI show melanoma of scalp?

Would an MRI show melanoma of scalp?

No: If you have suspicious lesions anywhere they should be checked by a physician and possibly biopsied. ...Read more

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My mom had melanoma on neck got it removed and didn't spread! I got a skin check and I need 4 biopsies in a month to be safe. Why so long to get it?

My mom had melanoma on neck got it removed and didn't spread! I got a skin check and I need 4 biopsies in a month to be safe. Why so long to get it?

Your question?unclea: Not every mole needs to biopsied. An experienced physician/dermatologist exercises judgment and would only remove one or two suspicious lesions. You may benefit from seeing another doctor for a second opinion which will save you some money and avoid scars on your skin. ...Read more

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I have hard, non-mobile, non-tender, lymph nodes under my neck for 2 months and a history of melanoma. Should i be worried?

I have hard, non-mobile, non-tender, lymph nodes under my neck for 2 months and a history of melanoma. Should i be worried?

Yes: Depending on where your melanoma was located and what prior treatment you received, your current lymphadenopathy may or may not be related to your history. Nevertheless, additional work-up and biopsy (by fine needle aspiration or core biopsy) may be recommended for definitive characterization. ...Read more

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Can a neck mole get darker from sun exposure? It hasn't demonstrated any other other signs/symptoms of melanoma. I'm a 20 Y/O man. Biopsy in July.

Can a neck mole get darker from sun exposure? It hasn't demonstrated any other other signs/symptoms of melanoma. I'm a 20 Y/O man. Biopsy in July.

Not likely: If the mole is changing over a fairly short period of time, you are right to get it evaluated and biopsied. While sunlight is implicated in the causation of melanoma, there is no evidence that it will change a mole that is pre-existing. ...Read more

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What is the prognosis of Spindle cell melanoma T4 lesion on the scalp?other than the surgery, what other treatments have been successful?

Micro: surgery is the only "curative" treatment! This may be accompanied by Radiation of draining lymph nodes. IMMUNOTHERAPY is "ijn the works" but thus far does not seem to "add" life years! Hope this is helpful/Good Luck! Dr Z ...Read more

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I have history of melanoma and recently been getting headaches all the time behind my eye and base of neck. I can feel huge bump there. Is it related?

I have history of melanoma and recently been getting headaches all the time behind my eye and base of neck. I can feel huge bump there. Is it related?

It could be: Melanoma can spread pretty much to everywhere-including brain, eyes, bones etc. You should go to see your md as soon as possible and have youself checked. You would definitely need o get some imagings done-like MRI to brain and perhaps also other imaging such as ct scan as indicated. Your pmd can refer you to see a see a specialist ( oncologist) for further evaluation and management. ...Read more

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Dermatologist referred me to plastic surgeon for suspicious scalp lesion removal. Was that for cosmetic reasons or because they suspect melanoma?

Dermatologist referred me to plastic surgeon for suspicious scalp lesion removal. Was that for cosmetic reasons or because they suspect melanoma?

Scalp Lesion: No way for me to know that based on sketchy information; be sure to ask the surgeon for the reason for the referral and discuss in depth. If the lesion is to be removed by the surgeon, the definitive diagnosis will be made by the consulting pathologist. No reason for undo alarm until you know more facts. Remember that even melanomas, caught in early stages, are highly curable. ...Read more

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Rapidly growing, even boardered,uniform colored brown spot on neck.Seeing derm in 3 weeks.Gp concerned about skin cancer. Low risk its melanoma? Im 21

Rapidly growing, even boardered,uniform colored brown spot on neck.Seeing derm in 3 weeks.Gp concerned about skin cancer. Low risk its melanoma? Im 21

ABCDE of melanoma: Check out http://www.webmd.com/melanoma-skin-cancer/abcds-of-melanoma-skin-cancer as quick reference to ABCDEs of skin cancer. You didn't mention size but it's change/growing thus evolving. While melanoma is rare in 21yo, I agree that evaluation is key. May need biopsy for absolute proof. ...Read more

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I have a suspecious mole but my dermatologist said its not melanoma. Does one swollen lymph node on the back of the neck right side can indicate there is melanoma?

Biopsy the mole: If you are concerned about a mole, the safest and thing would be to perform a biopsy on the mole. That would be the first step. A swollen lymph node can caused by many different things such as infections. ...Read more

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Was born with mole on head.Will bleaching hair cause mole to turn into melanoma?Is it safe to bleach my hair?Bleach will be on scalp. Not dye, bleach.

Moles and Melanoma: Moles should be checked periodically for changes. Moles greater than 1 cm in diameter have a slightly higher risk of cancer, and are often removed to be certain they are ok. Chronic skin irritation is associated with cancer, but occasional bleaching is not. Sun exposure is, so hats and sunscreen are helpful. ...Read more

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Can a left ear melanoma give swollen lymph nodes on both sides of the neck, on the back of the head left side and also on the top of both shoulders?

Can a left ear melanoma give swollen lymph nodes on both sides of the neck, on the back of the head left side and also on the top of both shoulders?

Certainly: Melanoma can travel anywhere in the body, no matter where it originated. So, yes, a left ear melanoma can travel to lymph nodes in your neck (cervical nodes) on both sides, including the top (supraclavicular) and bottom (infraclavicular) areas of the collar bones. ...Read more

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Dr. Mike Bowman
950 doctors shared insights

Skin Cancer (Definition)

A condition in which some element of your skin--which is one of the most complex organs in the body--degenerates into cancer. The three most common types of skin cancer are: basal cell, squamous cell, and melanoma which occur in that order and degree of aggressiveness. Although heredity plays a major role, sun exposure and tobacco use and ...Read more


Dr. Travis Kidner
2,627 doctors shared insights

Melanoma (Definition)

Cancer of the melanocyte cells. Melanocyte cells determine the color of your skin. Although these cells are primarily found in your skin, they can also be found in the bowel ...Read more