need help with pathology

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  • Post
    • April 25, 2012 at 7:50 pm
    triciad
    Participant

      Hi Everyone,

      Well, here's my history. 

      7/09 – first diagnosed…SNB, WLE – 3 nodes positive…groin area

      10/09-10/10 – Full year interferon

      7/11 – Intransit…same area…surgery to remove and 6 weeks radiation

      4/12 – found another intransit…surgery…what's next?

      So, I just got a copy of the pathology report.  It says, "Recurrent malignant melanoma, mulitlpe foci, focally present at the inked edge of the specimen.  Lymphovascular invasion is present."

      Hi Everyone,

      Well, here's my history. 

      7/09 – first diagnosed…SNB, WLE – 3 nodes positive…groin area

      10/09-10/10 – Full year interferon

      7/11 – Intransit…same area…surgery to remove and 6 weeks radiation

      4/12 – found another intransit…surgery…what's next?

      So, I just got a copy of the pathology report.  It says, "Recurrent malignant melanoma, mulitlpe foci, focally present at the inked edge of the specimen.  Lymphovascular invasion is present."

      It doesn't have anything about mitotic rate.  Also, never had "lymphovascular invasion present" mentioned before.  Please let me know if you know what this means…the good, the bad, and the ugly.

      Thanks so much for your help.  I have an appointment with my surgeon tomorrow and oncologist on Monday, but I'd like to have some questions lined up.

      Keeping you all in my prayers!

      Tricia

       

       

                                                  

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    • Replies
        • April 25, 2012 at 8:13 pm
        Janner
        Participant

          Pathology reports on recurrences are different from those of new primaries.  Mitotic rate means something on a new primary but I'm not sure if its significance has been studied on a recurrence.  As for lymphovascular invasion – to me that translates as melanoma is seen in lymph vessels.  However, given the fact that this is a recurrence, that comes as no great shock.  Melanoma has to travel some way and intransits basically use lymph vessels as their mode of transport.  I'm no expert on these type of pathology reports, but this is what it reads to me.

          As for "what's next", I don't have any real input for you there.

          Best wishes,

          Janner

          • April 25, 2012 at 8:13 pm
          Janner
          Participant

            Pathology reports on recurrences are different from those of new primaries.  Mitotic rate means something on a new primary but I'm not sure if its significance has been studied on a recurrence.  As for lymphovascular invasion – to me that translates as melanoma is seen in lymph vessels.  However, given the fact that this is a recurrence, that comes as no great shock.  Melanoma has to travel some way and intransits basically use lymph vessels as their mode of transport.  I'm no expert on these type of pathology reports, but this is what it reads to me.

            As for "what's next", I don't have any real input for you there.

            Best wishes,

            Janner

              • April 25, 2012 at 8:20 pm
              triciad
              Participant

                As always, thank you Janner.  I was hoping that you would reply to this, and of course, you didn't let me down!  I just don't understand why it mentions the lymphovascular now.  Hopefully, the surgeon can shed some light on this tomorrow, and I'll post it.

                You are better than a winning lottery ticket!

                Tricia

                • April 25, 2012 at 8:20 pm
                triciad
                Participant

                  As always, thank you Janner.  I was hoping that you would reply to this, and of course, you didn't let me down!  I just don't understand why it mentions the lymphovascular now.  Hopefully, the surgeon can shed some light on this tomorrow, and I'll post it.

                  You are better than a winning lottery ticket!

                  Tricia

                  • April 25, 2012 at 8:20 pm
                  triciad
                  Participant

                    As always, thank you Janner.  I was hoping that you would reply to this, and of course, you didn't let me down!  I just don't understand why it mentions the lymphovascular now.  Hopefully, the surgeon can shed some light on this tomorrow, and I'll post it.

                    You are better than a winning lottery ticket!

                    Tricia

                  • April 25, 2012 at 8:13 pm
                  Janner
                  Participant

                    Pathology reports on recurrences are different from those of new primaries.  Mitotic rate means something on a new primary but I'm not sure if its significance has been studied on a recurrence.  As for lymphovascular invasion – to me that translates as melanoma is seen in lymph vessels.  However, given the fact that this is a recurrence, that comes as no great shock.  Melanoma has to travel some way and intransits basically use lymph vessels as their mode of transport.  I'm no expert on these type of pathology reports, but this is what it reads to me.

                    As for "what's next", I don't have any real input for you there.

                    Best wishes,

                    Janner

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