Vulvar melanoma wide local excision histology

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Hey all. I've just had my wide local excision of the main vulvar lesion and a further 6 less scary (still all are abcde rule positive mind) looking lesions surrounding that one. This was done 4 days ago. I've just now had an NHS app message with my follow up appointment with my gynaecological oncologist, it's 3 weeks today. I've a lengthy list of symptoms indicating it'll be bad news, both a dermatologist and a gynaecological oncologist are confident it will turn out to be the big C, I've a brain disease diagnosis back in January that 63% of the time later discovers an unknown malignancy to be its cause, etc. So many things pointing towards the results I don't want. But now I'm wondering, this appointment, 3 weeks away. Is that standard, or does it mean they've tested and got the result and it's not malignant after all and 3 weeks they're making me wait because no rush no urgency because nothing to worry about, is the 3 weeks confirmed appointment just standard to get me booked in with all being well everything tests results MDT report to oncologist will all be done within 3 weeks, is it a bad sign if it means yes they've got results already it was definitely obvious no doubt about it 100% malignant so testing was done and dusted quickly? My mind is racing obviously any help would be really appreciated. Thanks all.

  • Thanks again you've been great for me this evening. I'm going to try and get some sleep now or I'll be here at 5am still reading profiles haha. All the best to you and thank you for your kind words and help. X

  • You just do what you’ve got to do with what you’re faced with. I’m not a quitter, and I’ve tried to maintain a good attitude and deal with one day, one thing at a time. I have a tendency, still, to become easily overwhelmed and very anxious, so I focus on the day and not what the future might hold. No-one knows, so I try to deal with what I know now, and that’s my way of coping. But thank you so much for your lovely words-I appreciate that greatly, 

    Sarah xx


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  • It’s a pleasure. I have just finished watching mindless rubbish on tv, so am heading to the land of nod myself.

    I hope you sleep well and are not too uncomfortable.

    Sarah xx


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  • Hi Sarah how are you today? Sorry I've not been active much I know you messaged but I can't find the thread, I think I'm replying here to a prior conversation. It has been quite eventful since my last update. And tomorrow I am at the Nuffield Leeds hospital with both a dermatologist and a gynaecologist. Derm for a hugely possible amelanotic melanoma lesion on my shin, I've been trying to get this seen to since the end of August. I finally got its GP urgent 2 weeks susp.... But as soon as I eventually received the referral I actioned it privately. It took longer than the 2 weeks to even be called to arrange an appointment. Gyna for the still, massively ongoing concerning changed down below not to mention the surgery site still having healing problems from the surgery error making my life hell ever since the surgery July 18th. I'm still in a lot of pain I still can't bend over to pick something up if I drop it I still can't sit upright for longer than 15 minutes at a time and that is whilst using a medical ring to sit on. Not to mention, in the exact spots where the lesions were removed (surrounding removed tissue has healed well looks somewhat normal again now), there are many angry red looking polymorphic type vessels, which are also spreading out further around the area. I've documented all of my bodily changes ever since the beginning of June, I've an insane amount of photos looking scary. So I'm a bit scared for tomorrow's two apps. I'm also going stag to them both. I had an appointment at Sheffield's Ataxia Centre with Professor Marios Hadjivassiliou last week, he's confident my Ataxia caused by cerebellar degeneration, is actually paraneoplastic cerebellar degeneration. What I've been questioning and scared of all along. But nobody actioned what he has now actioned. Lots of blood taken for autoimmunes, cancer markers, genes and paraneoplastics blood tests. Along with scheduling a full-body CT scan to check for possible metastases. He's confident the dermatologist tomorrow will agree amelanotic and have it removed for labs asap. I don't know how much more limbo I can take haha. I've still not got one answer with the Leeds Trust NHS hospitals so maybe I'll finally have some answers via Sheffield and via Nuffield. How are you? X

  • Hi  

    It’s good to see your name pop up again, but so sorry to hear about everything that’s going on for you. 

    I see the Sheffield Ataxia Centre is one of only 2 specialist centres in the UK- I had my surgeries at the Royal Hallamshire and I didn’t know the Ataxia Centre was based there. At least you are dealing with an expert with the right knowledge and can hopefully get some progress now. 

    Things just take ages-we are dealing with Bupa for my partner and it all moves very slowly, although a little better than the NHS for some things. Still involves a lot of waiting, miscommunication and 2 private hospitals in Sheffield. 

    Hope your Nuffield appointment goes well for you-keep me posted on how you get on.

    Sarah xx


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  • Hey Sarah.

    Aww small world. Yes he was very on the ball and very empathetic and kind too. It was a good appointment in Sheffield for sure. 

    I have just left today's appointments at Leeds' Nuffield. I need a further vulva surgery under general anaesthetic for healing reasons. I can't remember the surgery name he used, it's not the same as before, but he said my constant pains down below and multiple A&E trips are due to the first surgery, post surgery mishap with left over gauze, causing me healing problems still now all these months later. Hopefully that will resolve my never regions issue. 

    I also need 2 further wide local excision surgeries for biopsies. With amelanotic melanoma cancer in mind when completing labs on these 2 lesions. 

    It's hard to get my head around the actual waiting so much. I guess until you're in the thick of it, you assume cancer related shenanigans are rapidly actioned. I'm glad you've got it quicker privately for your other half. I hope it has been good news! 

    Onto the next surgery I go. I'm so apprehensive now though considering the last surgery still causing me issues today. I'm still not back in work unable to sit upright. Xx

  • Hi  

    Sounds like you’ve had another good appointment at Leeds, but I know I had to lower my expectations of how quickly things are done in my own experience going through my cancer.

    I assumed things would happen much more quickly than they actually did, especially while I was waiting for my exenteration surgery. Scans had shown my cancer was growing fast and was aggressive, but my gynae surgeon said she wanted the best team with her to do the op, and had to wait till all three of them were available on the same day. 

    You have an awful lot coming up and no wonder you’re not back at work. You need to take time to concentrate on yourself and what you’re facing. Another wait for results too-it seems never ending. 

    We are lucky in that we’re not dealing with a cancer diagnosis for my other half, but the private sector seems as hard pressed as the nhs just now, so everything is taking ages, plus we are continuing with the nhs orthopaedic/spine consultant, and they all seem to have different opinions! 

    Keep in touch and let me know how you’re getting on, and all the best for straightforward surgery.

    Sarah xx


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  • Hi Sarah. Merry Christmas! How are you and your partner getting on? Sorry I've not been on and in touch much. Fatigue is major these days. I've just had a wide local excision biopsy 2 days ago for a lesion on my leg so I'm awaiting labs results for that. I've got a colonoscopy and gastroscopy coming up I've not got an appointment for that yet, that's at Yorkshire Clinic and for my abdominal and digestive problems ever since June. The latest gynaecologist I was with late last month, has referred me over to a plastic surgeon for a possible redo of July's vulva wide local excision. That is for hypergranulation and vulvodynia that gynaecologist confirmed, my referral app with the new guy plastic surgeon is in York Jan 14th. I've got a brain MRI with cerebellum spectroscopy that's with the SAC specialist ataxia neurologist in Sheffield, that's Jan 25th. Memory clinic referral coming up from GP as advised to me by Ataxia UK contact. Social Care Needs Assessment coming up. It's all still very confusing as to what is going on like how is this all happening at once lol?! I turn 35 a week today too and I do love Christmas so things are moving along so I'll hopefully have some answers and resolutions within the next few months. Fingers crossed lol. Have you had any progress with your orthopedic spine consultant? I hope so it's been a while since I checked in I hope you've had some good movements since our last chat. My memory is ridiculous and confusion is rife these past few months. I had to have an advocacy appointment today with Advonet for them to contact social care and ask for that social care needs assessment as I tried a bit ago but I struggle to communicate sometimes over the phone these days. The body is a strange thing aha. Take care xx

  • Hi 

    It’s really good to hear from you again! You have so much going on I’m surprised if you know whether you’re coming or going! 

    I’m glad you had an advocacy appointment and hope that makes things easier for you. My closest friend works as an advocate for a different organisation in Scotland, and I understand what a difference it makes to people who need it.

    I struggle with my memory since I had my stroke in March, and took to writing everything on a big whiteboard-all my appointments etc. I can find it difficult to deal with things on the phone and my writing has deteriorated-I was completing paperwork for the DWP last week (time they went properly online!) and was actually embarrassed at how bad my writing was. I still make errors writing online but it’s easier for me to amend and check things multiple times.

    When you do ge the social care needs assessment, don’t try to be a hero! We were referred for one by the social worker dealing with the assessment for my in laws, but we didn’t go further with it-my partner thinks we can cope (which is not entirely true) but others need more support. You definitely need some help with everything going on and having a young child. 

    I’ve been ok since we last chatted thanks-trying to get a different kind of wheelchair instead of my mobility scooter is my current challenge as I’ve had to give up the scooter since my partner cannot lift it due to the spinal problem. Things are moving slowly with that but the consultant at the private hospital in Sheffield will be doing another mri guided injection into the spine in January. The worst thing is the pain, which very little relieves, and we’ve been told that it’s at least a year to see improvement which would take us up to May/June. 

    I am hoping to be able to go to a power assisted wheelchair which is much lighter and easier to manage than the scooter, but waiting to hear if that will be approved. It’s tough being completely housebound-I actually used to enjoy a trip round the supermarket just to get out and feel normal but that’s currently impossible. Imagine looking forward to a trip to Asda as a treat, but it was!

    Christmas will be quiet for us-my in-laws and my stepson will be round but my mum in law has dementia which is progressing and my father in law is still quite frail after his cancer surgery last year so they won’t stay long. Ever since my cancer treatment finished on Christmas Eve 2018 we stopped with Christmas and putting the tree up so things have been in the loft since then! We’ll just have a nice relaxing time being at home over the holidays. 

    It should be my last gynae follow up in February before being dischargd, as March will mark 5 years from the surgery for my recurrence, so that’s a milestone to celebrate I hope!

    Have a lovely Christmas-having a little one automatically makes it more fun- and I hope you’ll keep in touch and let me know how things go with all your appointments if you can. Look after yourself.

    Sarah xx


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  • Hey Sarah. Happy New Year. I hope you are having a good start to 2025! I have just sent you a friend request on here, I am not too sure what that means exactly, but I figured maybe it will let me direct message you privately instead of continuing here publicly, lol. If that is how it works and if that is OK with you? I have just bobbed on for a quick message here to you as I am awake in pain at the moment and you randomly popped into my thoughts and I wondered how you were doing. I will definitely read and reply to your last message here though if it doesn't let me privately message you. I will try to keep in touch more. And I will read and reply when I have had a coffee later haha. Speak shortly. Xx