Got my pathology report

› Forums › General Melanoma Community › Got my pathology report

  • Post
    • November 14, 2014 at 7:01 pm
    jennifer83
    Participant

      I got my pathology report and would love it if anyone can help me determine anything from it regarding staging or advice, etc…

       

      DIAGNOSIS:

      A) Skin, Right mid back (shave)

      Malignant Melanoma, Superficial Spreading Type, Clark's Level III-IV, Depth of Invastion 0.70 MM, extending to peripheral margin (does this just mean they didn't get it all?)

      Synoptic Report:

      Specimen: Laterally: Right

      Tumor Size: Grossly Indeterminate

      Macroscopic Satelite Nodule(s): Interteminate

      Histologic Type: Superficial spreading

      Maximum Tumor Thickness: 0.70 MM

      Ulceration: Not identified

      Margins: Involved by tumor

      Mitotic Index: 1 per MM squared

      Microsatellitosis: Indeterminate

      Lymph-Vacualr Invastion: Not identified

      Comment: Key poritions of this care were reviewed by one or more additional dermatopathologists

      Gross Discription:  Specimen labeld s "R mid back" is recieved in formalin and identified with two patient identifiers.  The specimen consists of a single portion(s) of  ___ skin (I can't identify the word before skin), measuring 0.7 x 0.5 x 0.1cm.  The skin is almost entirely surfaced by a 0.5 x 0.5 cm brown lesion.  The margin is inked.  The speciman is trisected and entirely submitted in one cassette(s) (NC).

       

      Any comments on this would be great!  I'm headed to a general surgeon on Monday to consult on a WLE and SLN biopsy.  

       

    Viewing 2 reply threads
    • Replies
        • November 14, 2014 at 8:20 pm
        Janner
        Participant

          Stage IB.  The important bit is that the deep margin is clear because that is required for staging.  It's not uncommon to have a lateral margin involved, they will get that with the WLE surgery.  Very unlikely that the sentinel node would be positive.  Hang in there!

          • November 14, 2014 at 8:20 pm
          Janner
          Participant

            Stage IB.  The important bit is that the deep margin is clear because that is required for staging.  It's not uncommon to have a lateral margin involved, they will get that with the WLE surgery.  Very unlikely that the sentinel node would be positive.  Hang in there!

            • November 14, 2014 at 8:20 pm
            Janner
            Participant

              Stage IB.  The important bit is that the deep margin is clear because that is required for staging.  It's not uncommon to have a lateral margin involved, they will get that with the WLE surgery.  Very unlikely that the sentinel node would be positive.  Hang in there!

                • November 14, 2014 at 8:50 pm
                jennifer83
                Participant

                  Thank you both for responding!  Do you think they'd recommend a PET scan, too?  

                  • November 14, 2014 at 8:50 pm
                  jennifer83
                  Participant

                    Thank you both for responding!  Do you think they'd recommend a PET scan, too?  

                    • November 14, 2014 at 8:50 pm
                    jennifer83
                    Participant

                      Thank you both for responding!  Do you think they'd recommend a PET scan, too?  

                      • November 14, 2014 at 9:19 pm
                      Janner
                      Participant

                        No scans for stage I.  If the SNB were positive, then maybe.  PET scans don't catch microscopic disease.

                        • November 14, 2014 at 9:19 pm
                        Janner
                        Participant

                          No scans for stage I.  If the SNB were positive, then maybe.  PET scans don't catch microscopic disease.

                          • November 14, 2014 at 9:19 pm
                          Janner
                          Participant

                            No scans for stage I.  If the SNB were positive, then maybe.  PET scans don't catch microscopic disease.

                            • November 14, 2014 at 11:45 pm
                            jennifer83
                            Participant

                              Is it possible, since they didn't clear margins, that my depth on invasion will be beyond the 0.70 mm found in the shave biopsy?  If so, does that increase the chance of being a higher stage?  Thank you for your help… this is all so new and my head is spinning with a hundred questions…

                               

                              Thank you! 

                              • November 14, 2014 at 11:45 pm
                              jennifer83
                              Participant

                                Is it possible, since they didn't clear margins, that my depth on invasion will be beyond the 0.70 mm found in the shave biopsy?  If so, does that increase the chance of being a higher stage?  Thank you for your help… this is all so new and my head is spinning with a hundred questions…

                                 

                                Thank you! 

                                • November 14, 2014 at 11:45 pm
                                jennifer83
                                Participant

                                  Is it possible, since they didn't clear margins, that my depth on invasion will be beyond the 0.70 mm found in the shave biopsy?  If so, does that increase the chance of being a higher stage?  Thank you for your help… this is all so new and my head is spinning with a hundred questions…

                                   

                                  Thank you! 

                                  • November 15, 2014 at 12:09 am
                                  Janner
                                  Participant

                                    Lateral margins are margins on the side, not depth.  The report would have said if the depth was transected .  So no, no change in staging from the WLE surgery.  The SNB, if it were positive, could change your stage.  But a positive SNB is unlikely.  Your depth is marginal to even do it.

                                    • November 15, 2014 at 12:09 am
                                    Janner
                                    Participant

                                      Lateral margins are margins on the side, not depth.  The report would have said if the depth was transected .  So no, no change in staging from the WLE surgery.  The SNB, if it were positive, could change your stage.  But a positive SNB is unlikely.  Your depth is marginal to even do it.

                                      • November 15, 2014 at 12:09 am
                                      Janner
                                      Participant

                                        Lateral margins are margins on the side, not depth.  The report would have said if the depth was transected .  So no, no change in staging from the WLE surgery.  The SNB, if it were positive, could change your stage.  But a positive SNB is unlikely.  Your depth is marginal to even do it.

                                  Viewing 2 reply threads
                                  • You must be logged in to reply to this topic.
                                  About the MRF Patient Forum

                                  The MRF Patient Forum is the oldest and largest online community of people affected by melanoma. It is designed to provide peer support and information to caregivers, patients, family and friends. There is no better place to discuss different parts of your journey with this cancer and find the friends and support resources to make that journey more bearable.

                                  The information on the forum is open and accessible to everyone. To add a new topic or to post a reply, you must be a registered user. Please note that you will be able to post both topics and replies anonymously even though you are logged in. All posts must abide by MRF posting policies.

                                  Popular Topics