r/melahomies

Melanoma SITU on cheek, very small. How weird is it to have the open wound and then close it up 2 days later?

Is it freaky to have an open wound? Mine was a small freckle in the middle of my cheek. I had mohs surgery so I sort of know what it is like. Did anyone have a small SITU, and was it freaky or not that big a deal to have an open wound on face? Thanks for any insight.

reddit.com
u/EverConstellation — 1 day ago

WLE on back today

I had a WLE this morning for an in situ mole on my mid back. They instructed me to keep my back as straight as possible for the next couple of weeks at least. No bending, lifting, twisting, etc. The only way I’m currently comfortable is sitting in a recliner. Obviously, the incision is bandaged but could I be hurting the incision somehow (preventing it from healing properly) by sitting back in the recliner?

reddit.com
u/G8trGirl28 — 1 day ago

New to the club :(

Hi all,

Sadly today I saw the result of my mole and it’s not good.

I’m super shocked and confused and also not entirely sure what it actually means.

It’s a superficial spreading melanoma of a depth of 1.3mm without ulceration.
No micro satellites
No angioinvasion
And no mitoses

pt2a they have written.

I’m so scared 😭especially because I have very strange sensory symptoms lately. I checked ChatGPT and it said I will probably be ok but still a 10% chance of no bueno. 😔

reddit.com
u/EJIET — 2 days ago
▲ 4 r/melahomies+1 crossposts

Lung met: Did you notice it before the scan?

I had a WLE on my calf and a lymph node removal in 2024. The lymph node was fine so no further treatment was required. I go in every three months to get checked, ultrasound and blood tests. I’ve never had a scan. For the last two weeks I’ve been suffering from bouts of shortness of breath and coughing. I’m on vacation with my family right now so I can’t go to the doctor, but I will do so as soon as I get back. While I thought this shortness of breath might be related to a kind of allergy, I just had the very troubling realization that it could be the melanoma coming back in the lungs. How did it feel for you? Has anybody experienced something similar?

reddit.com
u/3sponge — 3 days ago

PT1A

Had a shave biopsy last week. I’m 27 Male. Doctor called and sent me the report. I have PT1A. No ulceration, no mitosis, no lymph invasion. 0.4 MM scheduled to see a doctor to do like a procedure to remove extra tissue. My health anxiety has me thinking I’m dying but everything I read is I’m gonna be okay. Any advice?

reddit.com
u/Extra_Turnip118 — 2 days ago

Initial biopsy changed on pathological review?

Re-posted from Melanoma sub - photos show Jan 2024 vs Feb 2026

It's been a whirlwind of a month over here.

I have been tracking a mole on my back for more than two years due to subtle changes in pigmentation (lightening in portions, then in full). The mole itself wasn't huge by any means (maybe 6x2mm) and it wasn't getting larger or morphing in an obvious way. I had full body scans at my dermatologist at least twice during this time period and nothing was of concern. Back in June, I was looking at it again, rubbed it a bit to check texture changes and went to bed. The next day, a "blood blister" type of feature appeared. My dermatologist thought it was a benign angioma, but I insisted on removal at this point. It was deemed a cosmetic procedure.

Fast forward two weeks later, I get a call saying that the doctor would like to discuss the results of the biopsy in person. I had a suspicion of bad news here - I met him the same day and was told it came back as invasive melanoma.

Initial pathology summary:

There is a dense inflammation and an underlying compound melanocytic proliferation confirmed with positive staining for SOX10. AE1/3 negative. The melanocytes show enlarged hyperchromatic nuclei and variation in nuclear size.

breslow thickness: at least 0.9mm

ulceration: none identified

mitotic rate: not identified

macroscropic satellite nodules: not identified

TIL: present, brisk

lymphovascular invasion: none identified

microsatelites: not identified

neurotropism: not identified

regression: not identified

Invasive melanoma in the deep margin and melanoma In-situ at the peripheral margin

PT1b at least.

Container: Multiple curetted fragments 0.7cm

I was referred to a surgical oncologist at a top cancer research and treatment hospital with melanoma subspecialty, where we discussed consent for WLE and SNLB given the initial depth crossing the 0.8mm threshold. I described my history and showed photos of the mole changes during the period. I got the impression that the case was unusual and they were surprised I noticed these subtle changes at all, nevermind actually being diagnosed with invasive melanoma of a non-trivial thickness. Ironically, the surgeon mentioned that all specimens are subject to the hospital's own pathology review, and that there have been cases where an initial pathology has been questioned.

After about a week or so, I got a notification in my portal that a pathology review is posted. To my surprise, the path. review showed a completely different conclusion to the initial biopsy.

Summary notes as follows:

"Sections consist of multiple curetted fragments of skin showing a pigmented compound melanocytic lesion. The junctional component is composed of variably-sized nests and single units of mildly atypical small-medium sized epithelioid melanocytes disposed along the dermal epidermal junction with no evidence of pagetoid upward scatter. The dermal component is composed of nests and single units of mildly atypical epithelioid melanocytes. The lesional melanocytes have dusky-amphophilic cytoplasm and enlarged nuclei with inconspicuous-small nucleoli. The lesion is associated a brisk lymphoid infiltrate. There is no evidence of significant nuclear pleomorphism, necrosis or mitotic activity

Immunohistochemistry (Pathology Review)

The neoplastic cells are positive for SOX10 and Melan-A and negative for PRAME (score 0). HMB45 shows a gradient staining pattern and p16 expression is retained.

Immunohistochemistry (XX Lab):

The neoplastic cells are positive for SOX10 and negative for AE1/AE3 keratin.

Overall, the findings are in keeping with mildly atypical compound nevus with Halo-like changes. Conservative excision of an residual lesion/scar is advised.

Note: This was reviewed at the dermatopathology consensus rounds with agreement."

I had several calls with the surgeon's office where the above was confirmed. The lesion will be excised further in minor surgery but the WLE and SLNB is cancelled.

Of course, I have a ton of emotions regarding this - happiness if this is in fact the case, but also confused as to how such a disagreement can occur, and wondering about further risk. I understand that further clarity will be obtained in the remaining excision pathology. One of my biggest concerns is if, in fact, melanoma is found in the remaining excision surgery, I wonder how this this impacts the prospect of a proper SLNB being performed after the fact.

Has anyone had this type of situation happen and how did you navigate it?

u/Lost_Anything7581 — 3 days ago

[Rant/Vent] This year has been a fcking nightmare and I'm just bracing for more bad news (nodular melanoma on upper ear, no staging yet, pending WLE/SLNB). Trigger warning for pregnancy loss

In March of this year, I found out the very wanted pregnancy I was carrying was nonviable because my baby had acrania (her skull didn't form correctly in utero). I had to endure an induction of labor and five failed attempts at an epidural to deliver her. I was 21 weeks along when she was born/died. Then I was on FMLA for five weeks, during which my husband's job announced major cuts.

After the stress and anxiety of living in Jacksonville post-termination and my job specifically, we decided to relocate to Greenville, SC. Our plan was to live with my MIL (something which she was totally on board with). After undertaking a massive move with two cats, a dog, and a three-year-old, we arrived to be told that we'd "misunderstood" and we were only able to stay with my MIL for a week.

Cue having to scramble to find (and afford) a rental. We did. And on August 1st, I also got the formal melanoma diagnosis. My health insurance coverage doesn't start until Sept. 1st but I've been booked in to see a surgical oncologist on that day.

Meanwhile, I have a partially-erupted wisdom tooth that's wreaking havoc on my jaw. And guess what? You can't book a WLE/SLNB and a wisdom tooth extraction less than six weeks apart because my oral surgeon is very worried about infection and anesthesia issues.

All of this while also enrolling my son in school, navigating a new job, unpacking a new house, and living my life. I feel like screaming and crying and curling up into a ball. The worst thing that happened to me should've been the termination and now its just on a list of the worst things happening. There's a part of my that's bracing for the worst possible news from the WLE/SLNB because this has been a worst possible news year.

I want this to be over. I want it to be November and my teeth are fixed and I have answers about the melanoma. The waiting feels like emotional and physical torture. And I just needed to write it all out because my brain is like a full-time fire alarm right now.

Thank you for reading and thank you to everyone who posts in this community.

reddit.com
u/williamlawrence — 3 days ago

Follow up to Ipi/Nivo side effects

Original post here

To;dr headaches and fevers for a week. Ended up having liver enzymes spike, and got on a steroid. Starting to clear up (except night sweats which sucks).

My second neoadjuvant infusion was cancelled. Any positive/negative experiences with having infusions cancelled and how it impacted a surgery plan and outcome?

ETA
- one and done. Very first infusion.
- 3C, in just two axilla lymph nodes

Follow up question: did your aversion to ipi/nivo mean you weren’t able to take any other immunotherapy?

reddit.com
u/dls857 — 4 days ago

Tizzy

I’m a 31 y/o F and I’ve been stage 3a for the past 8 months and now am unfortunately stage 4- 7.5mm liver spot. I’m struggling to relax or enjoy anything with friends because I’m scared and just want a crystal ball to tell me the future…

Anyone else struggle with this? Or have any advice? I know my spot is small but I’m young and terrified and I want to plan for a future but it’s scary

reddit.com
u/maddiequick — 4 days ago

Healing Progression

How it started / how it’s going from my WLE. My skin didn’t like having the sutures in but it has flattened out nicely. All for a mole smaller than a pencil eraser. I was shocked how long the incision is.

u/Reasonable_Engine905 — 4 days ago

Extremely tight skin after WLE

I just had a WLE yesterday afternoon for stage 1 melanoma mole on my upper chest. I know some tightness is normal, but I’m surprised at how tight the area feels. I’m not sure if it’s the stitches or the pressure bandage or both, but I can’t actually straighten my neck all the way when sitting/standing, because of how tight everything feels. The nurse didn’t seem concerned about this when I stood up and had to be hunched over after the procedure… I guess I’m just feeling nervous about how well it will heal if it’s so tight I can’t fully lift my head.

Anyone have a WLE in a similar area and able to share their experience?

u/dairyfreebutter — 5 days ago

😢

My interventional radiation doctor called today and canceled my procedure for Monday morning. He said my “spots” (vaginal melanoma - very rare) had changed too much on my most recent pet scan that he didn’t feel it would be successful. Needless to say I have been crying for the last few hours on and off. I did have a gut feeling that it wasn’t going to do me any good. Now I have to get some sleep,
Get over it and figure out what is next.

reddit.com
u/UpstairsIdea3532 — 5 days ago

(UK-based) Had a 4mm mole removed on my foot - is waiting this long to know test results normal on the NHS?

I’m 28F, based in the UK so this will be specific to the NHS system and wondered if anyone has gone through a similar thing?

I had a 4mm mole excised fully for biopsy last Sunday. It was located on the side of the sole of my foot, dark, grew from 2mm in 2025 so doubled in size, was uneven in colour with slightly irregular borders. I had concerns about acral lentiginous melanoma.

I was told during surgery I won’t get my results until early October when I’ve been booked in for a follow up appointment. I’m being seen under the NHS in the West Midlands so just wondered if a 2 month wait for something like this is normal? It feels like a long time and I have to just sit and wait.

If any UK people have been through something similar and can share their experiences I’d be so grateful ☺️

reddit.com
u/amyquartz — 5 days ago

First WLE celebration

Got my first WLE today after 6 biopsies this year.
This one was considered “severe” and I have another WLE scheduled in 2 weeks for another on my back that is having “involuntary changes”.

Hoping for the best! Thought I’d share my cool WLE stitches lol

u/spicylime9 — 5 days ago

Next steps

Hi everyone, I had my first melanoma removed on my leg almost a year ago now. Then my second on my arm, and now a third find on my back - which I go for the surgery on Tuesday.

My first one I was put to sleep and the other I was/will be just given local anaesthesia and it be done in clinic.

The oncologist for the first one talked about genetic testing if I get 3 but at my doctor appointment they didn’t mention it and when I asked they said surgery is the treatment.
I’m going to ask again on Tuesday but I’m just so upset about all of this. I feel like something more needs to be done. This is the third one found in less than a year and I don’t go in the sun unless I’m on vacation once a year or at the beach here or there during the summer.

Im located in northern Ontario so I am driving down to southern Ontario for all these appointments and I am just almost done. I’m only 26 and I have 3 young kids. I seriously can not live like this anymore I’m scared to even go oit side at all.

What can I do? What can I ask the dermatologist on Tuesday? Any other options than surgery or the immunotherapy they won’t let me have??

reddit.com
u/txdzr — 5 days ago

Acral melanoma

29F just been diagnosed with a large acral melanoma on the sole of my foot approx 2.5cm by 1cm. Plastic surgeon told me recovery will be “hell” and that I have to be awake for surgery and they will only do it under local?! Has anyone else had an acral melanoma of this size removed?

They are refusing to do a biopsy and just want to cut the whole thing out straightaway then understand next steps. They think it’s hopefully just in situ and hasn’t spread but we don’t know.

Any advice would be great

reddit.com
u/dildoresearcher — 5 days ago

Radiation??

After successful but difficult ipi/nivo all but one of my lesions are gone.
Plan is now for 5 sessions of radiation.
(Upper left chest)
Has anyone been on this path? If so please share.
Thanks.

reddit.com
u/agentmod99 — 5 days ago

Immunotherapy and ldh

I had ldh drawn a week before my first immunotherapy treatment and it was 441 and then I had blood drawn 2 weeks after my first treatment and it was 611, is this normal im super concerned….. im only 23

reddit.com
u/Resident_Garlic3208 — 6 days ago