Questions about melanoma – Lommelegen.en

on Monday 30. January 2017

Question

I got removed malignant melanoma below the medial malleol in november. It was 0.5 mm thick, and it seemed to be free, and render at the first removal, (as well actually called a biopsy. I think the doctor used a razor ?) I got the information five weeks after that it was melanoma. In the period I had tried to get the biopsy-the wound to heal. It can take time down on the foot, ” said the doctor, (I have good blood circulation). I used medical grønnsepebad, fucidin, bruledine, bacimycin. But the wound stopped up in tilhelningen. Approximately seven weeks after the removal was done as an extended excision, and helhuds-transplantation (since the skin on the foot is tight) I had plaster for a week (set the lot with foot high) It was a great koagel during transplantat, so it had not picked up, the wound is now approximately 4 x 5 cm large. I have not had biopsy-the answer from the extended excision even. The wound is now being showered in tap water and placed on the aquacel ag e very other day. The nurse at the policlinic removed aquacell ag which is set firmly with the tweezers yesterday. I’m going to delhuds transplant on Wednesday, and remain at the hospital for a few days.
I’m sorry because yesterday during dusjingen of the wound I came to turn me around, and got wound into a sharp edge and hold on the shower door. It began to bleed. I washed very well with respect to bacteria, and got put on the bandage as the also is anti-bacterial. I’m wondering two things: 1) I have been biopsisvaret from the original biopsy, as I mentioned at the top, but NOT from the extended eksisjonen. But even if it is optional. should be “good” so it may be microscopic melanomceller down the open wound ? Can the incident yesterday with beating up a bleeding on the sharp edge have helped to have spread melanoma cells further in the body ?
2) Can the time from biopsy/removal forward to the extended excision, that was nearly seven weeks with the open wound, and the use of various sårpleiemidler have been unlucky in relation to the dissemination of any melanomceller in the body ?
Regards, anxious physical therapist 49 years.

Hi,

Thank you for your question. Get black on a general basis, based on the question.

1. At the first try is this submitted to a pathologist. Where they look at the sample under a microscope. If it says “free edge”, it means everything is taken away by the first removal. The answer is seen from histologi note your doctor has. Any hudprøve submitted (regardless of size) is called in principle for a biopsy.

2. A wider excision is performed, how it is made, after the first hudprøve. This sample will also be submitted and checked. Here you can also get a copy of your answer, if you call your doctor (or those who performed the operation). At the free edge on the first try, will also expect extended excision is perfectly normal.

3. The area by the ankles to heal often poorer than other skin areas. A hudtransplantasjon is also particularly vulnerable due to the blood circulation. It is probably the cause of the wounds.

4. That it formed a wound after the first removal, and the use of sårpleiemidler, will not expect increases the risk of any spread. A mishap with the bleeding in the area, scrape and that it has been wound increases, rather not risk. Most importantly is that you have a clear edge in the samples. The prognosis is good by a melanoma with a thickness of 0.5 mm. You will have to be followed up every third month for three years at the dermatologist according to standard guidelines.

Hope the answer was of help!