It’s tragic when this happens because the baby will usually develop melanoma within the first year of life, and because the disease is advanced, it’s always fatal. Sapna Patel More Quotes by Sapna Patel More Quotes From Sapna Patel We have a real access-to-care issue. Sapna Patel health While there’s a lot we don’t know, we see concerning patterns with melanoma being diagnosed at a more advanced state, and progressing faster in pregnancy. Sapna Patel health We’ve had a hunch that, though melanoma is not hormonally driven like breast cancer or ovarian cancer, there could be hormonal factors that contribute, especially during pregnancy, to skin changes. Sapna Patel health If a patient has metastatic melanoma and is in her first or second trimester, it’s unlikely she ’ll be able to deliver to term without the melanoma becoming very life-threatening. Sapna Patel health