December 6, 2023

Melanoma In Situ: More Than Just Skin Deep

Peeling Back the Layers of the Most Superficial Melanoma

Yellow flag alert! If you thought all melanomas were created equal, think again. Melanoma in situ should be considered the baby of the melanoma family. This stage is confined to the skin’s top layer, called the epidermis. While it may sound less menacing than its more invasive counterparts, keeping a keen eye on it is still essential. After all, prevention is better than cure, right?

rocks stacked upon each other

In 2022, when the shadow of a melanoma diagnosis fell upon me, I found myself plummeting into an abyss of fear and uncertainty, paralyzed by a term I couldn’t grasp. The weight of the unknown, coupled with the chilling sound of ‘melanoma,’ ensnared me in a relentless grip of panic and anxiety. It was a journey through the darkest corridors of my mind, where the lack of understanding became my greatest adversary. I know that medical terms can be confusing so let’s break it down. “in situ” is a Latin phrase that can translate to “in its original place.” So, in plain English, we’re talking about a melanoma that hasn’t gotten any wanderlust and spread beyond its birthplace. This simple clarification became a beacon of light, guiding me through the fog of my initial despair and toward a clearer, more hopeful horizon.

word symptoms in brown scrabble tiles

Melanoma In Situ: Signs and Symptoms

  • Itchy and Flaky: Often, the skin can become a bit bothersome, itching like nobody’s business.
  • A Change in Moles: If a mole starts evolving like it’s on a rollercoaster, changing in size or color, you should absolutely give it some attention.
  • Unusual Appearances: Look out for reddish or discolored patches. These aren’t just mere beauty marks!

Remember, your skin deserves the best care, so if you notice anything unusual or just feel that something’s not right, it’s a great idea to check in with a dermatologist. Making it an annual habit can give you peace of mind and keep your skin in tip-top shape. It’s all about looking out for yourself and taking that step is always worth it.

text with your questions, answered on black background

Addressing Those Burning Melanoma In Situ Questions

  1. Isn’t melanoma in situ just like any other melanoma? Not quite. While all melanomas should be taken seriously, melanoma in situ is in the earliest stage. It’s like pulling a weed before it overtakes the garden.
  2. Can melanoma in situ spread? The good news is that when it’s “in situ,” it hasn’t spread deeper into the skin or other body parts. But don’t push your luck! If left untreated, this melanoma stage can advance quickly.
  3. How is melanoma in situ treated? Often, a simple same-day surgical excision does the trick. The doctor will remove the affected area, and you’re good to go with a few stitches as a trophy. But again, catching things early is the game-changer. Lady In The Shade Tip: Don’t wait around for things to take a turn for the worse!
view of clinic

Decoding the Treatment Options

Slice and Dice: Surgical Excision

This procedure is the go-to for many doctors. The affected area, along with some surrounding tissue, just to play it safe, is removed and stitched up.

Freezing Time: Cryotherapy

However, doctors may sometimes consider other treatments, such as cryotherapy, radiation, or topical therapy. Cryotherapy is an option where the lesion is frozen off. Brrr!

woman covering face with both hands

Wrapping It Up: The Last Hoorah

Today, we journeyed together through the world of melanoma in situ, exploring everything from its early signs to the various treatment paths. The takeaway? Love your skin, embrace sun safety, and never hesitate to consult a professional if something feels off. Speaking from personal experience, having been diagnosed at 31, I can’t stress enough how crucial early detection is. Melanoma in situ, being the initial stage, really underscores the value of routine skin exams and shielding ourselves from the sun’s rays. Let’s keep in mind that a little precaution today can save a lot of trouble tomorrow.


Stay Shady,
Jordan, Lady In The Shade

P.S. To close each blog post, I want to share a personal tidbit, opening up a little more to you, my readers. Today’s reveal: I am related to Abraham Lincoln by marriage.

Medical Disclaimer: The information provided on this blog is for informational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay seeking it because of something you have read on this website.

Melanoma Awareness

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