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After Wide Excision Of Melanoma...do Patients Need A CT Or MRI ....to Check Lymph Nodes

A MyMelanomaTeam Member asked a question 💭
October 28
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A MyMelanomaTeam Member

absolutely.........the first place melanoma travels to from the lessions or moles on the skin is to the closest Lymph Nodes.....the axial LN ,or armpit , is usually the first stop. U should get both a petscan and CT scan. Petscan will show intensity of activity of cells, Cancer cells burn more sugar because they metabolize faster than ordinary cells...so cancerous cells will show in a Petscan. CT reveals size...but even the most microscopic melanoma needs to be surgically removed by removing LN.....then they give u immo for a year.

November 5
A MyMelanomaTeam Member

Hi Tracy, YES for sure. When I was diagnosed with Melanoma (2022), I've had PET scans every 6 months. After my first surgery for melanoma... I had a year of treatment with immunotherapy. On my PET scan several months ago, they saw another lesion, diagnosed as another melanoma / treated with 3 treatments of Ipi/Nivo combination immunotherapy. New PET shows it GONE but doing another year of Immunotherapy with single immunotherapy drug Nivimulab for 1 year.

Now I am NOT saying you will have a recurrence, but once diagnosed we ARE at increased odds to develop another. Getting treatment ASAP is very important.
Barb M

November 11
A MyMelanomaTeam Member

My experience with melanoma is IIIC on my left upper arm posterior side. During the wide deep excision they took out three positive arm pit nodes which were injected with isotope before surgery started. Two incisions for one anesthesia and fast healing. Starting my third year and scans are scheduled for early December. Looking at a quickly growing lymph tissue is my chest to compare from the last scan so waiting for that month to go by will be a little nervous for me. Staying busy with creative arts and garden cleanup for winter will help.

October 31
A MyMelanomaTeam Member

Thank you for the information.

October 28
A MyMelanomaTeam Member

After a wide excision of melanoma, patients may need additional tests to check if the cancer has spread to the lymph nodes. Here are some relevant points:

- Sentinel Lymph Node Biopsy: This is a common procedure where a small amount of radioactive tracer and dye is injected near the melanoma. The sentinel lymph nodes are Show Full Answer

After a wide excision of melanoma, patients may need additional tests to check if the cancer has spread to the lymph nodes. Here are some relevant points:

- Sentinel Lymph Node Biopsy: This is a common procedure where a small amount of radioactive tracer and dye is injected near the melanoma. The sentinel lymph nodes are then removed and analyzed to check for cancer cells.
- CT or MRI Scans: These imaging tests are typically used to check for metastases to other internal organs, such as the liver, lungs, brain, or spinal cord, rather than specifically for lymph nodes.

Always follow your doctor's recommendations for post-surgery monitoring and tests.

October 28

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