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melanoma????

Posted by azerty-198488 - Created: 13 years ago
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Hi, i have a couple of suspect moles..and I would like them cut out, regardless of what the doctor says (better safe than sorry, eh?!) Does anyone know of a doctor/dermatologist who can cut them out straight away in his surgery (you can do this in SA very easily, but not sure if it is allowed here..) Thanks!

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9 replies (Showing replies: 1 to 9)

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Posted by jonboy-191946 - 13 years ago

By instrumentation I mean that they should NOT simply use the naked eye.  As I said this excellent German Dermatologist informed us that a non specialist like a G.P. would only detect about 30% of m.m.  A specialist without instrumentation detects about 60% of m.m.  Whereas a specialist using instrumentation, particularly this binocular type device, detects 95% of m.m.  I don't know what this device is called.  It looked like a small set of binoculars with ear pieces.  He said that it permitted him to look just below the surface of the skin and identify tracks or filaments that are characteristic of m.m.  Alternatively they use a very large and powerful free standing magnifying glass that projects light onto the skin.  However, I believe the former is more important in detection than the latter.  In addition to your surface skin you must have the following places checked:  your scalp (even under all the hair), inside your mouth, your genitals, between your toes, your nail beds, and most importantly the backs of your eye balls.  The latter is important because many Dermatologists are not up on this latter point.  You must consult an ophthamologist for this as only they have the skill and the equipment.  I cannot recommend anyone on the CdA as the Dermatologist who checked my wife was not in this area.  However, I believe there is an excellent eye clinic with a high reputation at the hospital in Nice.  Incidentally if it gives you peace of mind to have any moles removed then do it.  As I said, in my wife's case the mole that was found to be malignant looked really innocent.  Even after it was excised the Dermatologist gave me a reassuring nod that it looked OK.  Finally, it is the exposure and burning you have experienced in childhood (up to about age 15) that is the contributory factor for m.m.  You double your chances for m.m. for each incidence of burning.  As I said, my wife had never exposed the area with the m.m. throughout adulthood, except for our first holiday abroad when she was aged 21 and was burned.  She never sunbathed after that and always covered up etc.  It is a combination of genetics and childhood exposure.  You MUST continue to take precautions in later life, however.

 

 

 

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Posted by SJ-190944 - 13 years ago

No, you don't have to be referred and you can choose whomever you wish to see, although some will be more expensive than others.  In fact, only count on a total of about 25 Euros being reimbursed by Social Security and your mutuelle for a consultation that usually costs a minimum of 50 Euros.  My husband and I have regular checks done (he more that I) due to extensive sun exposure while growing up.  I was given the names of some good English speaking dermatoligists in Cannes by an English speaking doctor in Mougins, although I ended up just using one in Antibes.  I, too, would like a clarification of "uses instrumentation".

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Posted by zoe-180327 - 13 years ago

Can you go for a check up even if you don't have anything suspicious? Do you need to be referred like in the UK?

Family history, major sunburns & fair skin mean I'd be reassured if I could be checked out!

 

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Posted by szozu - 13 years ago

There is a very good dermatologist in Cannes who is also a "Diplômé d'Etudes Spéciales d'Anatomie-Pathologique." Contact me if you would like his co-ordinates.

Lana

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Posted by azerty-198488 - 13 years ago

yeah, melanomas are scary! Have a look here http://www.skincheck.org/Page4.htm   Sorry,what do you mean "uses instrumentation for examination " and do you know of a doctor who does (antibes area)?Thanks

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Posted by jonboy-191946 - 13 years ago

Azerty,

You are right to be concerned about moles, and to have them removed.  A few months ago my wife had all her moles checked for the first time, and the Dermatologist suggested that she had a really innocent looking one removed.  After he removed the tissue he said that it looked ok.  However, we were absolutely shocked when the path lab said it was malignant.  My wife was also advised that had she left it a further 3 months that the malignancy could have spread.  Ironically my wife has very light skin and has never exposed this area.  She has always used the high factor high quality sunscreens on all other areas, and never sunbathes.  Another important place to have checked is at the back of your eyes.  She was told to have this done after they found the m.m.  Apparently the skin at the back of your eyeball is the same as on your body.  We have since found that many Doctors and Dermatologists are not aware of this connection.  It was another shock when my wife was told she had an anomalous nevus at the back of her left eye.  This too will require constant monitoring along with her other moles.  Generally people are not aware how dangerous and life threatening m.m. is.  So go for it.  Choose a Dermatologist who uses instrumentation for examination as we were subsequently informed that specialists who do not use instrumentation can only detect 65% of problem moles.  I would also personally recommend that sufficient tissue is excised in the first instance even though m.m. is not suspected, because you usually have to wait about 2 weeks for the path report and this would be sufficient time for stray cells to be mopped up and potentially spread by the lymphatic system should the mole subsequently be found to be malignant.

Jonboy

 

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Posted by ivi - 13 years ago

Isn't there anybody who does it with laser around here?

That way there is no blood, no stitches and the whole thing is a lot easier.

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Posted by ivi - 13 years ago

Isn't there anybody who does it with laser around here?

That way there is no blood, no stitches and the whole thing is a lot easier.

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Posted by robertsio - 13 years ago

In the Beausoleil / Monaco area there are 2 great dermatologists Dr Simbsler 04.93.78.57.25 & Dr Choquenet 04.93.78.45.65.

Normally there is an initial appointment and then a date to remove the moles and then a third appointment to remove the stitches a week or so after.  I'm not aware of any drop in clinics where you can get it down immediately.

Any suspicious moles get sent off for testing.