Hi. I’ve been diagnosed with Desmoplastic Melanoma a couple of weeks ago. Histology were unable to stage my biopsy- does that suggest deeper than stage 1? .Has anyone else had experience of this? Is it the norm to have to wait for a WE for staging? My next appointment is in 4 weeks with plastics so I feel a little anxious. Thank you.
Hi JT22 and a very warm welcome to the online community which I hope you'll find is both an informative and supportive place to be.
I'm sorry to read that you've recently been diagnosed with melanoma and I know what a shock this will probably have been for you.
Melanoma is staged in 2 ways. Initially it is based on what's known as the Breslow thickness. If you look at the link you will see that it ranges from T1 (less than 1mm thick) to T4 (more than 4mm thick). Then, once the wide local excision (WLE) and sentinel lymph node biopsy (SLNB) are done a final staging is done which takes into account things like whether it was ulcerated, if it's spread, etc.
I hope this helps a little but your SCNS should be able to tell you why you haven't been given an initial stage.
x
Thank you for the reply. I haven’t had any appointments with an SCNS- only a referral to plastics. I was given the diagnosis over the phone as I had COVID at the time of my appointment, so I haven't really had chance to ask any questions.
You should have been given your SCNS's telephone number in case you want to ask anything. If not, call your consultant's secretary and she should be able to tell you who your SCNS is and give you her contact details.
x
Hi JT22
Yes, it doesn't matter what stage you are. Their role is to be a point of contact if you have any questions and also if you find anything on your skin that you're worried about in between your check-ups with your consultant.
x
Whatever cancer throws your way, we’re right there with you.
We’re here to provide physical, financial and emotional support.
© Macmillan Cancer Support 2025 © Macmillan Cancer Support, registered charity in England and Wales (261017), Scotland (SC039907) and the Isle of Man (604). Also operating in Northern Ireland. A company limited by guarantee, registered in England and Wales company number 2400969. Isle of Man company number 4694F. Registered office: 3rd Floor, Bronze Building, The Forge, 105 Sumner Street, London, SE1 9HZ. VAT no: 668265007