Hi there! I am sorry that you are going through this nightmare! I've only had one mole removed (on the bottom of my foot OUCH!) and it was OK. On our way to WDW in Dec 2001 I told DH his mole looked a little funny - we should get it checked when we get back. He had a punch biopsy on my birthday (jan 7) and a week later we got the call -- malignant melanoma! He had it removed by a plastic surgeon in our area that specializes in this. He has a big scar behind his right ear (2 1/2" long x 3/4" wide). It was a fairly large mole and the margins (end of the area they removed) from the biopsy were not clear (meaning cancer all the way through), so they took out alot to make sure they got it all (which, thankfully, they did). The scar is far better than the alternative...
You asked about chemo and rad for melanoma. First, it will depend on how deep/what stage yours is. DH was boarderline level II, meaning it was pretty deep, but since it had not spread, it technically was not a II. If it is melanoma, they will probably start running all kinds of test (CAT scans, blood work, etc) to try to see if it has spread to the lymph. We all but demanded a PET scan, since the mole was very near a cluster of lymph nodes. If you can get your insurance to cover it, a PET may save you from having to have lymph nodes removed. The PET scan is done with a special sugar that makes cancer cells light up like Christmas on the scans (or so the tech told us!). You will probably be sent to an oncologist for a consultation too. Our oncologist recommended AGAINST chemo, since it makes many people so ill that they do not complete it and it only helps in about 50% of cases. He agreed with us for the PET scan too. Again, it will depend on just how deep/what level the melanoma is. Also, you may be under care for the next five years after removal, so they can monitor you (usually 2 - 4 times a year) and make sure it doesn't pop up elsewhere.
I am not trying to scare you, I just thought I'd share some of what we went throught. Some will try to "protect" you by sugarcoating things, but I believe one should know whats going on -- the good and the bad.
I will be praying for you that all is well and will go smoothly. Please feel free to contact me at anytime if you have any questions or just need to vent.
Best wishes and healing thoughts,
Kathleen
mommykatt@msn.com