DecisionDx-Melanoma (Castle test): When is it necessary?

Posted by birdman518 @birdman518, Nov 2, 2021

After having melanoma removed from my scalp in June, I had my first checkup today with my original dermatologist that found it. He mentioned that I might want to have a Castle test done. From reading about it on the company's website, it almost sounds as if it is for people who have *not* had a SNB and are trying to decide. I *did* have them and all came out clear.
It sounds like the Castle test does not really give much actionable information for someone like me. I am going to reach out to my surgeon (at Moffitt Cancer Center in Tampa) to see what they say about it. So far they have said I am clear and only need to have quarterly checkups with my dermatologist like anyone else.
I would appreciate any comments or experiences....
Thanks,
Mitch

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donnajones | @donnajones | 1 day ago

I had a melanoma on my back it was large but very shallow. I showed it to my NP one year and she didn’t think it was anything then the next year we forgot about it. When I got to dermatologist a little before two years since I first noticed it I felt so fortunate it had enlarged size but not depth. I’ve been melanoma free for many many years but I would have loved to have had the castle test done but didn’t know about it. I don’t think this could be something they contract with a doc for that he is paid for because that sounds like a conflict of interest - some might not refer you cause it would
Be additional
Money out of their pocket. Good luck to you all who have had I’m wishing you the best .