On 12/29/2006
Gingingin wrote:
I am interested in finding out what everyone's melanoma looked like when it was first discovered. I have read about the basics of how it might look (irregular borders, two different colors, changing) but am wondering what your particular melanomas looked like. I have a young son and melanoma is in our family (I had melanoma myself). I want to educate him (and myself) about the many different ways it can look so I am asking for your feedback. I greatly appreciate your help. The more details you can give me, the better.
I am 65 years old with a history of fair skin, freckles and sun exposure in Connecticut as a child. Have had 5 melanomas, first in 1999 on my left forearm, stage 1, but level 2 or 3 (so a bit deep but all removed). It had classic traits, rather like a scab, irregular borders and itchy, on the exact site of a long-term double sized freckle. Then in 2003 had an itch on mid-central back, seemed like a solid white head or hardened boil under the skin. Waited for next appointment. (Bad idea). Proved to be melanoma. (Likely new primary, better than a metasis from the arm). Sentinel node biopsy procedure showed drainage to both axilla lymph basins. Right was negative, left was positive for melanoma, so followed up by radical lyphedectomy on left side, all other nodes negative. (Made me stage III). Was in Cancervax Trial for two years until cancelled. Received both BCG and Cancervax.
Now in 2006 CT/PET scan picked up what proved to be 2 cm extra-nodular melanoma within right axilla lymph basin, so another radical lyphedectomy, all other nodes again negative. (still stage III, but "recurrent cancer"). Then an itch on my neck just led to suspected basil cell but was "in situ" melanoma, so wide area excision of that, awaiting final biopsy.
Now considering options, including watch and wait, possible clinical trial (hard to find worthy one) or Interferon (dubious re toxicity and benefit). Any comments greatly welcomed.
My message for you: Except for the internal melanoma found by scans, ALL others were found by me or family, primarily due to change and itching! Looks alone are NOT an adequate exclusion. If in doubt, have it seen promptly.
Good wishes!