Melanoma: stage 1B + ulcerated

Hi folks, my husband (late 30s, not a sun worshipper at all but typical white scottish freckly skin) has been diagnosed with a Stage 1B Melanoma on his back right on his spine (i think 0.6mm depth, on surface it was 1cm x 5mm wide).  The Dermatologist informed us that they were concerned that the melanoma was ulcerated but didn't really expand.  What does it mean / why is ulceration worse?

His lymph nodes in groin were raised on clinical exam and she has referred him for an ultrasound of the groin and a WLE plus SNB.  He received the diagnosis on Fri 21st April and is not seeing the Plastic Surgeon for initial consultation until 23rd May. Is that waiting time normal (it was removed 6th April, then 21st April result).

I think the ultrasound will happen within 2 weeks but we have no date.

 

Although they emphasised it was a thin melanoma, they said that because of the ulceration they feel they should have a "belt and braces" approach 

  • Hi LisLis,

    I'm sorry to hear about your husband's diagnosis, you will both be in shock, I'm sure.

    Ulceration means the melanoma has broken through the skin (epidermis) covering the mole. This carries a greater risk of the melanoma spreading quicker so it's treated as being possibly more aggressive. Normally a 0.6mm depth carries much less chance of spread but ulceration makes the chance greater.

    The waiting time between appointments is currently standard post Covid. 

    Treatment these days is showing great results so, even if it has spread, there is still a good chance his treatment will be successful.

    I will send you a friend request. If you accept it we can then chat by private message and I can share more information with you that will help. Good luck to you both 

    Angie (Stage 3 melanoma patient since 2009)