Question about Pathology report of SLN Stage 3A

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  • Post
    • April 3, 2015 at 12:40 am
    CCCL
    Participant

      Hi ,

       

      I recently had my Sentinel Lymph Node surgery, and it they found 1 out of 5 nodes positive with 1 mm dimension of tumor burden in the positive node. I am going to be doing the CLND in a week or so. I have read a lot of the information on this forum and the internet as a whole and its been great to get a better understanding of everything. The question I wanted to see if anyone was familiar with was the pathologist listed a % of how much cancer I guess was in the Lymph Node. I haven't read about that anywhere, so I wanted to understand the significance of it. 

       

      Here is exactly what the pathologist said on the report:

       

      Largest Metastatic focus measures 1 mm in greatest dimension, involves less then 10% of lymph node area,  subcapsular and intraparenchymal location, no extracapsular extention indentified.

       

      So I have a good idea of all of the other info outside of the "10%" of lymph node involvement, I haven't seen anything like that anywhere on the internet so was hoping someone here might be familiar it. I am just wondering if it has any significance in terms or good or bad factors. 

       

      Thank you for your help ahead of time. 

      CC

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    • Replies
        • April 3, 2015 at 3:18 pm
        Thandster
        Participant

          that is just saying that roughly 10% of the area of the node has the melanoma in it. Picture the node as a tea cup and only 10% of that cup is full. 2 of mine were 50%. some people will have 100% with extra capsular extension meaning the tea cup  is totally full and overflowing out the top.  Overall, the lower percentage the better chance that it all stayed in the cup (node) and it didn't spread further although this is melanoma and there are no sure things. If the cup is overflowing it is more likely to have spilled out of the cup and spread.

            • April 3, 2015 at 4:38 pm
            CCCL
            Participant

              Thanks for the information, It makes sense the way you described it, its just so much info that they throw at you sometimes you can't think straight. 

               

               

              • April 3, 2015 at 4:38 pm
              CCCL
              Participant

                Thanks for the information, It makes sense the way you described it, its just so much info that they throw at you sometimes you can't think straight. 

                 

                 

                • April 3, 2015 at 4:38 pm
                CCCL
                Participant

                  Thanks for the information, It makes sense the way you described it, its just so much info that they throw at you sometimes you can't think straight. 

                   

                   

                • April 3, 2015 at 3:18 pm
                Thandster
                Participant

                  that is just saying that roughly 10% of the area of the node has the melanoma in it. Picture the node as a tea cup and only 10% of that cup is full. 2 of mine were 50%. some people will have 100% with extra capsular extension meaning the tea cup  is totally full and overflowing out the top.  Overall, the lower percentage the better chance that it all stayed in the cup (node) and it didn't spread further although this is melanoma and there are no sure things. If the cup is overflowing it is more likely to have spilled out of the cup and spread.

                  • April 3, 2015 at 3:18 pm
                  Thandster
                  Participant

                    that is just saying that roughly 10% of the area of the node has the melanoma in it. Picture the node as a tea cup and only 10% of that cup is full. 2 of mine were 50%. some people will have 100% with extra capsular extension meaning the tea cup  is totally full and overflowing out the top.  Overall, the lower percentage the better chance that it all stayed in the cup (node) and it didn't spread further although this is melanoma and there are no sure things. If the cup is overflowing it is more likely to have spilled out of the cup and spread.

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