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Cancer > Skin Cancer Forum > melanoma .5 mm
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Q: melanoma .5 mm
asked by: robcom911 on March 17th, 2009
New User
i have melanoman .5mm they said that was a good thing but what i am worried about is that i cant see the dr for 13 days to get this posion out of me and when they did the punch biospy they took half of the mole i am so scared because you know we are working in mm and if it is .5mm what stage and clark is that

thanks scared robert
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MandMs
replied on March 18th, 2009
Extremely eHealthy
Melanoma with thickness of 0.5 mm is melanoma in situ, or stage 0 (cancer cells are found only in the epidermis, the outer layer of the skin).
This stage is the earliest and most curable, and recurrence and subsequent death, after the local treatment, from melanomas 0.5 mm is a very rare event.
The depth of melanoma lesion, also accurately predicted the risk for lymph node metastasis, with deeper tumors being more likely to involve the nodes.
Melanoma depth is most accurate when measured by evaluating the entire tumor via an excisional biopsy, instead punched biopsy, which gives less accurate results.
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MrLarryLarry
replied on March 22nd, 2009
New User
Not correct info, but still don't worry
I have had melanoma as well, Stage 1A .33 mm.

The poster above told you that all .5mm melanomas are "in situ" (Stage 0) that is not correct. Many early Stage 1 tumors that have progressed beyond the epidermis, even slightly, are well below 0.5mm (my .33 mm for example).

Nevertheless, the 10 year survival rate for most studies for a radial growth phase melanoma of less than .75 mm with no regression, ulceration or other negative factors (i.e., high mitotic rate) is very high (depending on the study you look at 95-99%). So you're clearly in the 95-99% range of not having your cancer recur.

Keep in mind those statistics include elderly and immuno-compromised patients so you really don't have much to worry about and I'm sure you'll be fine with such a shallow melanoma. The .5mm however DOES NOT mean that it is an "in situ" lesion.

Hope that helps
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JACK37
replied on September 1st, 2009
Experienced User
Clark Level
The Clark level refers to how deep the tumor has penetrated into the layers of the skin. This system was originally developed by W. H. Clark, MD back in 1966. Clark levels are officially defined as follows:

Level I: confined to the epidermis (top-most layer of skin); called "in situ" melanoma; 100% cure rate at this stage
You have "in situ" or Stage 0. You are lucky you got it early. You will be okay. MandMs know what she is talking about. Be good use sun blocker and don't get too much sun. Jack
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ChrisG22
replied on September 4th, 2009
New User
JACK37 wrote:
Clark Level
The Clark level refers to how deep the tumor has penetrated into the layers of the skin. This system was originally developed by W. H. Clark, MD back in 1966. Clark levels are officially defined as follows:

Level I: confined to the epidermis (top-most layer of skin); called "in situ" melanoma; 100% cure rate at this stage
You have "in situ" or Stage 0. You are lucky you got it early. You will be okay. MandMs know what she is talking about. Be good use sun blocker and don't get too much sun. Jack


100% cure rate if they do a decent margin and get it all out.
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