Hello all. Thankful for this place we discovered today. I've been to my dermatologist just about every year as I am dark-skinned caucasian any have had many mole growths and age spots over the years, but none have been cancer. Three weeks ago I hit my hit getting out of a golf cart and my baseball cap buttom squished into the crown of my scalp and bled a lot. AFter a few days the scab did not look "normal" and still had bleeding. My wife and I jumped on it, and luckily was able to see a dermatologist (not my regular dr) quickly. He performed a crown shave biopsy. A week later got this test result: malignant melanoma, deep and peripheral margin positive. Histologic type: superficial spreading melanoma. Maxiumi Tumor (Breslow) Thickness : 2.05 mm. Macroscopic Satellite Nodule: not identified. Ulceration: present. Anatomic (Clark) Level: IV (melanoma invades reticular dermis. Mitotic Rate: 4 mitoses per mm2. Microsatillite(s): not identified. Lymphovascular invations: not identified. Neurotropism: not identified. Tumor-Infiltrating Lymphocytes: present, nonbrisk. Tumor Regiossion: Not identified. Margins: Peripheral Margins: involved by invasive melanoma. Deep Margin: involved by invasive melanoma. Pathologic Stage Classification (pTNM, AJCC 8th Edition): Primary Tumor (pT: pT3b)
Sadly, we saw the test result before any one from the hospital or the doctor responded to us because it was Labor Day weekend. Dermatologist Doctor apologized for that. On Tuesday Sept 8 he said I could go into surgery the in two days for removal, but rather he recommended that I wait for the hospital's Melanoma multi discipline board to meet Sept 16 to review my case and recommend treatment. So I agreed to that, not knowing or understanding much about the test results other than I'm in trouble. The doctor did not look over the rest of my body, just did the biopsy, and that does concern me. To be fair, my greatest concern was the rapidly growing (within days) ulcer on the top of my head! Doc says nurse coordiantor is supposed to call us to explain further what will happen next, but I called to talk to her and she said she has nothing to tell me and doctor will call me on Friday. This is concerning. I feel like I'm floating in limbo. Is this a normal course?