Initial biopsy results vs. WLE path results

Forums General Melanoma Community Initial biopsy results vs. WLE path results

  • Post
    Alce123
    Participant
      Hi all!

      I had a mole on my leg biopsied 1.5 weeks ago. The path report came back as stage 1a, 0.44cm deep, no ulceration, mitotic rate of 0.

      A few days ago I met with the surgeon who will be removing the mole. He said that he won’t know the exact stage until the entire mole is removed which is standard as far as I can tell.

      Any chance anyone out there knows how often these measurements change drastically? Should I put any stock in the initial results?

      Thanks,

      32 and a little scared out of my mind

    Viewing 5 reply threads
    • Replies
        Janner
        Participant

          You can make no assumptions from the biopsy because, as I recall, your deep margin was not clear.  It was a very shallow shave biopsy.  I don't think you should be worrying unnecessarily, but none of us can give you any help on this.  Most times, biopsies remove enough depth for initial staging even if they don't always get all the width needed.  But in your case, that didn't happen.  So you have to wait until the WLE to know if it was about that depth or deeper.  Hang in there.

          Janner
          Participant

            You can make no assumptions from the biopsy because, as I recall, your deep margin was not clear.  It was a very shallow shave biopsy.  I don't think you should be worrying unnecessarily, but none of us can give you any help on this.  Most times, biopsies remove enough depth for initial staging even if they don't always get all the width needed.  But in your case, that didn't happen.  So you have to wait until the WLE to know if it was about that depth or deeper.  Hang in there.

            Janner
            Participant

              You can make no assumptions from the biopsy because, as I recall, your deep margin was not clear.  It was a very shallow shave biopsy.  I don't think you should be worrying unnecessarily, but none of us can give you any help on this.  Most times, biopsies remove enough depth for initial staging even if they don't always get all the width needed.  But in your case, that didn't happen.  So you have to wait until the WLE to know if it was about that depth or deeper.  Hang in there.

                gigembritt
                Participant

                  I am in the exact same boat! Mine is .44 as well. 

                  gigembritt
                  Participant

                    I am in the exact same boat! Mine is .44 as well. 

                    gigembritt
                    Participant

                      I am in the exact same boat! Mine is .44 as well. 

                      Alce123
                      Participant
                        Have you had it excised yet?
                        Alce123
                        Participant
                          Have you had it excised yet?
                          Alce123
                          Participant
                            Have you had it excised yet?
                            gigembritt
                            Participant

                              Nope. I go to MD Anderson Tomorrow but it is just a consult. Mine was not clean margins.

                              gigembritt
                              Participant

                                Nope. I go to MD Anderson Tomorrow but it is just a consult. Mine was not clean margins.

                                gigembritt
                                Participant

                                  Nope. I go to MD Anderson Tomorrow but it is just a consult. Mine was not clean margins.

                                Janner
                                Participant

                                  So I might have confused the original poster for the other poster on this thread.  If your original biopsy had clean deep margins, then the WLE would most likely be anti-climactic.  If the deep margin wasn't clear, then my original reply is correct.

                                  Janner
                                  Participant

                                    So I might have confused the original poster for the other poster on this thread.  If your original biopsy had clean deep margins, then the WLE would most likely be anti-climactic.  If the deep margin wasn't clear, then my original reply is correct.

                                    Janner
                                    Participant

                                      So I might have confused the original poster for the other poster on this thread.  If your original biopsy had clean deep margins, then the WLE would most likely be anti-climactic.  If the deep margin wasn't clear, then my original reply is correct.

                                        Alce123
                                        Participant
                                          It had clean deep margins but my surgeon said that (since they didnt get the entire width of it) there could be a “lake” or area where the mole is deeper than what was biopsied.

                                          Trying to stay positive. Unfortunately/fortunately the mole was found in the middle of an ivf cycle. We had to freeze all of our embryos and they don’t want us to try for a year. They areally worried the increased hormones my have exacerbated the melanoma. Since the biopsy it does seem a little swollen and is a little painful but I assume that’s relatively normal?

                                          Thanks for responding!

                                          Alce123
                                          Participant
                                            It had clean deep margins but my surgeon said that (since they didnt get the entire width of it) there could be a “lake” or area where the mole is deeper than what was biopsied.

                                            Trying to stay positive. Unfortunately/fortunately the mole was found in the middle of an ivf cycle. We had to freeze all of our embryos and they don’t want us to try for a year. They areally worried the increased hormones my have exacerbated the melanoma. Since the biopsy it does seem a little swollen and is a little painful but I assume that’s relatively normal?

                                            Thanks for responding!

                                            Alce123
                                            Participant
                                              It had clean deep margins but my surgeon said that (since they didnt get the entire width of it) there could be a “lake” or area where the mole is deeper than what was biopsied.

                                              Trying to stay positive. Unfortunately/fortunately the mole was found in the middle of an ivf cycle. We had to freeze all of our embryos and they don’t want us to try for a year. They areally worried the increased hormones my have exacerbated the melanoma. Since the biopsy it does seem a little swollen and is a little painful but I assume that’s relatively normal?

                                              Thanks for responding!

                                              Janner
                                              Participant

                                                There could be, but honestly I have rarely heard of that happening except when the biopsy was only a partial biopsy of a very large lesion.  

                                                Swollen, tight, annoying are fine and normal.  Red and hot could mean infection so call your doc if you gave those symptoms.

                                                Janner
                                                Participant

                                                  There could be, but honestly I have rarely heard of that happening except when the biopsy was only a partial biopsy of a very large lesion.  

                                                  Swollen, tight, annoying are fine and normal.  Red and hot could mean infection so call your doc if you gave those symptoms.

                                                  Janner
                                                  Participant

                                                    There could be, but honestly I have rarely heard of that happening except when the biopsy was only a partial biopsy of a very large lesion.  

                                                    Swollen, tight, annoying are fine and normal.  Red and hot could mean infection so call your doc if you gave those symptoms.

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