Melanoma in situ / WLE

Hi guys. This is all fairly new to me. Back in February I noticed a mole that I'd had for what I remember as most of my life looked a bit darker in one half. I pondered for a few days, but then decided to make an appointment with the GP. The appointment was for 4 weeks time, which took me to March. By this point I'd already been on Google and got myself all upset. Anyway, GP sent me on an urgent 2 week wait referral, although it was actually 4.5 weeks by the time the hospital could see me due to a back log, so April 21st I went to the dermatology department who said it was concerning and they removed it there and then. I was told I would get the results in 4-6 weeks. 3 weeks later I had an appointment to go back - I knew it was cancer then, why would I be called back earlier than planned. Anyway, yes it is skin cancer, melanoma in situ and I cried, which looking back I feel stupid for doing so, but all I had heard was the word cancer and I remember her saying it is good news and I kept thinking how is this good news. Anyway, after a few days had passed and I had time to process everything I agreed it was good news and that it could have been so much worse.

 

I'm booked in for a WLE on 15th June. At the moment I've a round scar on my forearm, what am I to expect? Apparently they have already taken 4.5mm so they just need another 0.5mm. Do they remove the scar plus 0.5mm? Also, is there a reasoning as to why they don't take the recommended 5mm to begin with?

 

Will the recovery / healing be the same as before? I'm a self employed cleaner so last time the surgeon told me I couldn't work for at least a week, this time I'm prepared and informed my clients I'll be off for at least a week.

 

Also, is it normal to feel paranoid about every mole on your body? I am constantly looking at my moles now, daily, it's almost like it has become an obsession. I'm a very moley person as well which doesn't help.

 

I feel like I have waffled on and asked too many questions.

 

Thanks in advance for taking the time to read.

  • Hi Gayle,

    First of all, it's good to know they caught it early. Catching it in Situ is literally the second best scenario (the first being that it would obviously be nothing), and this typically means you'll require no further treatment after the WLE.

    I can't really comment on what to expect from the WLE since I haven't had this yet (still waiting for the biopsy results for my own strange looking mole). I did just want to reassure you however that it's completely normal to feel paranoid about your other moles now; it's got you thinking about things you probably didn't consider before. I've already seen 1-2 other atypical moles and im wondering 'has it always been like that?'

    My suggestion would be to either book a GP appointment - or go straight to a private dermatologist if you can afford to / want to, and ask for a full body skin review. Explain what's recently happened and that you'd like to have your other moles checked to be on the safe side. It can't hurt and I'm planning to do the exact same thing.

    I think they'll probably offer you skin checkups every 3-6 months regardless though based on them finding something this time. So while it might be worth waiting for that, if you have other moles causing you stress/anxiety now, you could just beat them to the punch.

    best of luck with the WLE. I imagine it will be similar to what you've already experienced, though maybe others will pop in with first hand knowledge.

  • Hi Paul,

    Thanks for your reply. When I got my results the nurse did a full body check of my moles and she says all seems fine, still makes you paranoid though. Because it is in situ I won't get regular check ups, you are sent on your way with skin care advice and I am to check myself monthly.

    I wish you the best of luck for your results. When did you get your biopsy done?

    All the best.

  • Hi Gayle

    I had 3 moles removed from my legs in March. 7 weeks later I got the results of which one was melanoma stage 1a and the others melanoma in situ.

    I went in on Tuesday 7th June for my WLE on all 3 and obviously the stage 1A scar is a bit longer than the other 2. They did take away the previous scars and they are now longer than before but I was expecting worse. 

    I have been off work the rest of the week but pleased to say I'm healing better than the first time. 

    My results are only due back in 8 weeks and I will be having full body checks every 3 months for 1 year. 

    Hoping all goes well on 15th for you x

  • That's reassuring if the nurse has already performed a check. You can actually get skin check apps on your phone - you take pictures of your moles and it prompts you in 3 months to take another (you can then view side by side to monitor for changes). Some even have AI recognition so can advise if a mole needs to be assessed or not. Crazy world! Sadly most of these you have to pay for - I think SkinVision is one. If not, standard pictures and setting phone reminders would probably work just as well.

    I only had my biopsy on Wednesday, so still have a bit of a wait for results. Trying to remain positive!

    Hope everything goes well on the 15th :)

  • Hi Gayle I could really do with your help I’m in the same position as you were right now I can’t sleep I feel so unwell ! How are you now ? My WLE is in a weeks time ! Been an awful 10 weeks ! 

  • Hi Fiona and welcome to Cancer Chat.

    Unfortunately Gayle-1982 hasn't been on the forum in a while and as this discussion was last active over a year ago, there's a chance you may not get a reply.

    I really hope that won't be the case but if you don't hear back from Gayle, or anyone else on here, you're very welcome to start your own discussion or reach out to others on more recent and active discussions you find about this within the community.

    We also have a very supportive team of cancer nurses you can discuss your situation with on 0808 800 4040, Monday - Friday between 9a.m - 5p.m. They will do all they can to answer your questions and put your mind at ease.

    We're thinking of you Fiona and wishing you all the best with your WLE.

    Kind regards,

    Steph, Cancer Chat Moderator