Melanoma

Hi my partner got reffered to dermatology about a month ago for suspected melanoma upon seeing the consultant she said it looks like early stage melanoma but needs a biopsy to be certain and then she said but I do look at hundreds of melanomas everyday my question is she must be pretty confident that it's early stage because she had no reason to say it otherwise we have an appointment for Tuesday to go back in and the letter was posted on the 19th surely if something was really bad they wouldn't make you wait this long I know the nhs is under pressure with covid etc but I still don't think they would mess about if something needed treating straight away and finally can a dermatologist predict a stage of melanoma just by looking at it sorry for all the questions what would be classed as early stage melanoma I'm guessing insitu or stage1

  • Hello Safc and thanks for posting, 

    I am sorry to learn about your partner and can understand that waiting can be unsettling. 

    In general most cancers usually grow slowly so short waits shouldn't have an impact on the success of  treatment. This is why cancer is mostly treated urgently in the NHS, but of course it feels like an emergency for anyone suspected of having it.  There are waiting times targets which you can read about on our website  - but unfortunately the pandemic has had an impact on these. I believe there may be some scope for a specialist to be able to prioritise some patients, but I don't know by how much or what sort of criteria they would apply. 

    With melanoma the biopsy is usually an excisional biopsy to remove all of it. This is the first of a two step surgical process (both usually done under local anaesthetic), the second step is a wide local excision, You can read more about this on our website here - these may be all that is needed.  So I expect Tuesday would be classed as part of your partner's treatment as it is the first component.

    I think dermatologists are good at predicating the stage of a melanoma but this is formally calculated in the laboratory after the melanoma has been removed when the thickness can be measured. So I'm afraid there will be more waiting until you know for sure. Do encourage your partner to ask some questions when she attends her appointment and to find out when the biopsy results will come back and how she will be told about them and any next step. 

    I hope everything goes smoothly. If either of you want to talk anything over please give us a ring on Freephone 0808 800 4040, we are around from 9-5, weekdays. 

    Wishing you the best,

    Julia

  • Thankyou for the reply hopefully it's early and gets clear margins

  • I hope you've been able to get some dates for the biopsy. I was recently diagnosed with skin melanoma and the biopsy is the first most obvious way of checking for cancer.

    I tend to agree if they thought it was bad I'm sure that even with the current pressures on the system it would be dealt with fast. If it turns out to be cancer then everything is done very quickly.

    Good luck and please don't over think things too much at the moment :love:

  • Thankyou for your reply we had results last week sadly it was melanoma but luckily it was stage 0 insitu I think its called so no follow up but have to go back on 1st Dec to have a wider margin cut away just to be safe.i hope they've caught your melanoma early and everything goes well moving forward

  • That's great news.

    I was diagnosed with stage 3 melanoma and am currently taking medication to treat any residual traces after having a positive sentinel node biopsy.

    The wider margin cut is worthwhile, as you said it helps reduce the risk of anything spreading, and leaves a cool scar to show friends and family:laugh: