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by Spooky23 433 days ago
It’s really all about the protocol. AI tends to spot things that doctors don’t, and vice versa. Dermatology is also an area being pillaged by private equity and access is poor for many people.

I lost my wife to melanoma. She noticed a lesion within days of it appearing, and a doctor saw it within 48 hours and felt it was benign. My wife didn’t accept it and had a plastic surgeon remove it and biopsy, then had a margin removed by surgical oncologist, the standard of care at the time. It came back as a brain tumor 4 years later and she was gone in 6 months, even with the incredible advancements today.

So I’d hold the position strongly that anything that improves overall detection rates and access to care is incredibly important and will save lives. Weeks matter with melanoma. Today with immunotherapy Molly would be fine. But if she hadn’t advocated and gotten the original thing removed, it would have cost her 4 important years.

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Similar story: mom had a melanoma removed from her foot. multiple lymph node biopsies and other tests said it had been successfully removed.

She went back once a year for checks for 4-5 years. It was only when she was called into see an oncologist and told an unrelated x-ray lead them to discover she had stage 4 metastatic melanoma (brain, liver, spine, femur, lungs and i’m sure i’m forgetting something) that we found out that they’d only been giving her visual checkups each year, no PET scans or anything else. The oncologist was shocked that the checks were so basic, mom didn’t know she was supposed to have anything else and she was dead in about 8 weeks.

We were told that the form of melanoma only came back like that in 1% of patients and usually simple visual checkups were enough. I have no idea how true that is.

My wife had a similar experience, except it was her shoulder. They took a margin, looked at lymph nodes, and did a nuclear test that traced something that I can’t recall.

Another lesson learned is that if at all possible, go to a national cancer center. Even if for a second opinion analysis. The level of care is different and better than what you find in community oncology or hospital practices.

So sorry, brother.
I've been told the only way to be sure if skin cancer or not , is a biopsy. I also have been told ... not skin cancer... but Dr decided to send me to a dermatologist. Is thing he said when say it .. is looks like skin cancer ... lets take a biopsy now ... to check . It was skin cancer ... a BCC
Dude that sucks mate. I had a melanoma taken off last year. It was dormant (stage 0) but had been there for 10ish years. But reading shit like this reminds me that even though I'm probably fine, all I can do is just live my best life. Hang out with my family. Enjoy the things I enjoy and not think about it too much. (and get my skin checks every 6 months :D)
Are your skin checks just visual checks? If so, read my other comment in this thread. It was in UK fyi.