Some of you may remember that, the day before we moved house, I was diagnosed with melanoma in my thumb and scheduled for surgery between 4-6 weeks. So the first thing I had to do the day after we arrived, was to sign on with a local GP so that my case could be transferred.
The surgery was done in early July, removing most of the nail and the affected skin, and putting on a skin graft from my leg. Since then it’s been checked and the nail has grown slowly.
Today I went back to the surgeon, fully expecting him to sign me off. However, he’s concerned that the nail is black, and he is not sure why. The best scenario is that the nail itself is discoloured, and eventually that should grow out.
But there is the possibility that the melanoma, which was sent away to histology and pronounced ‘in situ’ ie only in the superficial layers of the skin, is spreading under the nail.
The surgeon said that we could leave it and see what happened. But if we were to be super-safe, then the best option might be to go back for more surgery, remove the nail completely so that I will never have one, and send the skin off once more for histology.
What did I think?
I don’t know … you’re the surgeon! 8|
In the end we decided to leave it for a month. He took several photos and is going to take them to the next meeting for discussion. He was beginning to think that the dark lines might be ridges in the nail.
So there we are. It is not over yet.