Last Tuesday I received the biopsy results for a spot I found on my scalp (new mom, dirty hair.. scratched head and felt bump. Decided to go to dermatologist ASAP as spot looked.. not great. Had no idea it was there previously). It’s melanoma. The biopsy was truncated so it’s at least .9mm deep, could be greater.
The pathology report says: “Outside pathology report from 11/01/2020 was reviewed showing right vertex scalp shave biopsy malignant melanoma, at least 0.9 mm to the base of the specimen, no ulceration. Peripheral margin is involved by invasive melanoma and melanoma in situ. Deep margin is involved by invasive melanoma and melanoma in situ. No lymphovascular or perineural invasion. Tumor regression present.
Can someone help me understand what some of this means? Is there any good news to glean? I have a lymphoscintigraphy with SPECT scan and WLE scheduled for Nov 17 at Washington University/Siteman Cancer Center. I will likely do the flap reconstruction (I think that’s the correct name?) so I can hopefully keep a full head of hair.
I’m so nervous. I have a 13 week old and a 4 year old and this diagnosis has me shook. I grew up in FL and my mom was not great about applying sunscreen and doesn’t at all for herself so this is likely stemming from my history of bad sunburns as a child. As an adult I am far more responsible and have never used a tanning bed.. I generally wear sunscreen if I’m outside for any length of time and am obviously looking at adding SPF into my DAILY routine now. I can’t stop thinking about this somehow affecting my ability to watch my children grow up and I realize my diagnosis isn’t horrible but not knowing it’s true depth or if it’s spread.. the idea it could come back.. this is new and terrifying.
If anyone can offer some explanation of my path (to my surgeons credit he DID go over some of this we with but I was overwhelmed and didn’t know what to ask—ex. He didn’t mention regression or lymphovascular invasion.. I have no clue what those things how they affect my situation.
I’ve also only had surgery as a 12 month old, outside of my wisdom teeth so anything to ease nerves about that or the reconstruction would be.. appreciated. I’m a mess, sorry! I know positivity plays a huge role in these situations and I am mostly in good spirits but it comes in waves and right now I’m low.
Thanks in advance.