Topic: Melanoma

Forum: Breast Cancer with Another Diagnosis or Comorbidity — Meet others who have breast cancer but also have another health diagnosis/comorbidity such as another cancer, diabetes, MS, bipolar disorder, HIV or AIDS, Parkinson's Disorder, schizophrenia, etc.

Posted on: Jul 23, 2022 09:23PM

Posted on: Jul 23, 2022 09:23PM

morwenna wrote:

Hi

My triple negative breast cancer was nearly 10 years ago, and I have been well, but a few weeks back noticed a pre-existing mole on my left shoulder/upper back was changing in appearance and texture, and now it's been removed I'm diagnosed with stage 1b melanoma.

It needs a wide local excision to clear margins, which I'm ok about, but I'm waiting to hear from the cancer centre to discuss sentinel node sampling to stage it accurately.

It's my previous breast cancer side and I had 1/4 positive sentinel nodes back then, followed by another 7 from my axillary- all negative. I do have mild lymphedema.

So I'm a little nervous about where they will take the sentinel nodes for my melanoma, whether this will exacerbate my lymphedema in the left arm or trunk, and whether the fact that I have previous axillary node surgery will have any bearing on the melanoma spread.

Has anyone been through anything similar? Coming up up 10 years cancer free after triple negative breast cancer, I kind of thought I was done with cancer! 😳

Any thoughts or words of wisdom or support gratefully received! ❤





Dx 11/8/2012, IDC, 6cm+, Stage IIIA, Grade 3, 1/11 nodes, ER-/PR-, HER2- Surgery 11/23/2012 Lumpectomy; Lumpectomy (Left); Lymph node removal; Lymph node removal (Left) Surgery 12/12/2012 Mastectomy; Mastectomy (Left) Chemotherapy 1/9/2013 AC + T (Taxol) Radiation Therapy 7/22/2013 Breast, Lymph nodes Surgery 1/6/2015 Prophylactic mastectomy; Prophylactic mastectomy (Right); Reconstruction (Left): Free TRAM flap; Reconstruction (Right): Free TRAM flap
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Jul 24, 2022 05:13AM rah2464 wrote:

Morwenna so very sorry to hear about your melanoma diagnosis. I remember when I was first diagnosed my MO telling me that BC and melanoma were related cancers which tied in with my family history.

I haven't had your experience but I also have mild truncal and arm lymphedema after having four nodes removed. I did experience a flare up after a revision surgery in 2020 when we did a bit of lipo to try and fill out around my implants. But lipo is aggressive and makes sense that it aggravated my lymphedema. Are your surgeons aware of your lymphedema? Certainly I would think there is a chance you can aggravate it but perhaps the medical team can take extra precautions to reduce impact. Hope the surgery goes very well for you

Dx 5/23/2018, IDC, Left, 1cm, Stage IA, Grade 2, 0/4 nodes, ER+/PR+, HER2- Surgery 6/27/2018 Mastectomy; Mastectomy (Left); Mastectomy (Right); Reconstruction (Left): Silicone implant; Reconstruction (Right): Silicone implant Hormonal Therapy 7/27/2018 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone)
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Aug 22, 2022 08:56AM morwenna wrote:

Hi, and thanks for your reply.

To update, I saw the oncology surgeon and we decided the risk of lymph node biopsy outweighed the likelihood of spread to the nodes, so was referred back to the other clinic and had a wide excision a week ago, which was pretty damn quick really.

So now I'm recovering from that, and waiting for pathology report, which will hopefully say they got it all, and I've been referred to a different (lady) dermatologist, at my request, who I hear is excellent! So looking forward to meeting with her in due course.

My arm lymphedema was not impacted by the surgery, thus far, but I have felt a bit puffy in my upper trunk, behind the left armpit area. Nothing too bad.....

Have a great day, and stay well everyone!

Dx 11/8/2012, IDC, 6cm+, Stage IIIA, Grade 3, 1/11 nodes, ER-/PR-, HER2- Surgery 11/23/2012 Lumpectomy; Lumpectomy (Left); Lymph node removal; Lymph node removal (Left) Surgery 12/12/2012 Mastectomy; Mastectomy (Left) Chemotherapy 1/9/2013 AC + T (Taxol) Radiation Therapy 7/22/2013 Breast, Lymph nodes Surgery 1/6/2015 Prophylactic mastectomy; Prophylactic mastectomy (Right); Reconstruction (Left): Free TRAM flap; Reconstruction (Right): Free TRAM flap
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Aug 23, 2022 06:15AM rah2464 wrote:

Morwenna glad the surgery went well I hope you get those clean margins. For what it is worth, there is a great light compression bra made by Wear Ease called the Sydney bra that is excellent for truncal and breast lymphedema. MinusTwo told me about it and I have to say when that area flares up it is my go to for relief.

Dx 5/23/2018, IDC, Left, 1cm, Stage IA, Grade 2, 0/4 nodes, ER+/PR+, HER2- Surgery 6/27/2018 Mastectomy; Mastectomy (Left); Mastectomy (Right); Reconstruction (Left): Silicone implant; Reconstruction (Right): Silicone implant Hormonal Therapy 7/27/2018 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone)
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Aug 23, 2022 12:40PM morwenna wrote:

Oh thanks

I am aware of Wearease, but have never worn any of their products... seem to recall they are a bit pricey! 😶

Dx 11/8/2012, IDC, 6cm+, Stage IIIA, Grade 3, 1/11 nodes, ER-/PR-, HER2- Surgery 11/23/2012 Lumpectomy; Lumpectomy (Left); Lymph node removal; Lymph node removal (Left) Surgery 12/12/2012 Mastectomy; Mastectomy (Left) Chemotherapy 1/9/2013 AC + T (Taxol) Radiation Therapy 7/22/2013 Breast, Lymph nodes Surgery 1/6/2015 Prophylactic mastectomy; Prophylactic mastectomy (Right); Reconstruction (Left): Free TRAM flap; Reconstruction (Right): Free TRAM flap
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Sep 2, 2022 11:33AM morwenna wrote:

Pathology report is clear margins, so just have to heal up and get regular checks now in case it happens again!

Happy to "draw a line" under this episode!

Dx 11/8/2012, IDC, 6cm+, Stage IIIA, Grade 3, 1/11 nodes, ER-/PR-, HER2- Surgery 11/23/2012 Lumpectomy; Lumpectomy (Left); Lymph node removal; Lymph node removal (Left) Surgery 12/12/2012 Mastectomy; Mastectomy (Left) Chemotherapy 1/9/2013 AC + T (Taxol) Radiation Therapy 7/22/2013 Breast, Lymph nodes Surgery 1/6/2015 Prophylactic mastectomy; Prophylactic mastectomy (Right); Reconstruction (Left): Free TRAM flap; Reconstruction (Right): Free TRAM flap
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Sep 4, 2022 04:01AM veeder14 wrote:

Congratulations on clear margins and best wishes for healing

Dx 1/2/2018, ILC, Left, <1cm, Stage IB, Grade 1, 0/7 nodes, ER+/PR+, HER2- Surgery 1/26/2018 Lumpectomy; Lumpectomy (Left); Lymph node removal Radiation Therapy 3/8/2018 Hormonal Therapy 2/28/2019 Hormonal Therapy
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Sep 4, 2022 10:12AM morwenna wrote:

Thanks! ☺

Dx 11/8/2012, IDC, 6cm+, Stage IIIA, Grade 3, 1/11 nodes, ER-/PR-, HER2- Surgery 11/23/2012 Lumpectomy; Lumpectomy (Left); Lymph node removal; Lymph node removal (Left) Surgery 12/12/2012 Mastectomy; Mastectomy (Left) Chemotherapy 1/9/2013 AC + T (Taxol) Radiation Therapy 7/22/2013 Breast, Lymph nodes Surgery 1/6/2015 Prophylactic mastectomy; Prophylactic mastectomy (Right); Reconstruction (Left): Free TRAM flap; Reconstruction (Right): Free TRAM flap

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