New hear, translating Dermapathology report

› Forums › General Melanoma Community › New hear, translating Dermapathology report

  • Post
    • May 9, 2014 at 8:15 pm
    giggley
    Participant

      Hi! I just recieved a diagnosis of Melanoma yeserday, and was in such shock I didn't ask the questions I should, just mindlessly left the office with the book they gave me! They scheduled a surgery consult apt for me already, but I don't know exactly what I am facing here, since the report is in medical-ese.

       

      Melanoma, focally present at one perihperal margine (see comment)

      Non-Ulcerated.

      Breslow Thickness: 1.1 mm

      Mitotic Index: 4 (4 dermal mitoses per square milimeter)

      Comment: Sections reveal an asymmetric compound melanocytic proliferation comprised of confluent nested and solitary melanocytes within the epidermis with abundant pagetoid extention. In focal areas, the epidermis is consumed by melanoma, but no definitive ulceration is seen. Melanoma extends to the dermis as discohesive mests and irregular groups of large melanocytes that fail to mature with descent. Ballon cell change is noted. An area of melanocytes in mitosis is seen within the dermis, measuring four per square millimeter. No lymphovascular or perineural invasion is seen.

       

      anyone able to translate that into english?

    Viewing 2 reply threads
    • Replies
        • May 10, 2014 at 12:45 pm
        MattF
        Participant

          Hello

          First of all Im sorry about your diagnosis. But you came to the right place.

          I can shed a little light on some of this and others can help alot more.

           

          The first things we will need to know..

          where on your body was the melanoma?

          where do you live and where are your surgical  consults etc?

          did you see a Clark's Level listed on your pathology report? (not imoirtant I was just curious)

           

          Ok .

          Non Ulcerated is a good thing.

          1.1mm Breslow is and should be considered deep enough to warrant what is a called a Sentinal Node Biopsy….so make sure that is part of your surgical consult along with the Wide Local Excision. 

          WLE and SNB

          mitotic rate from what I understand is the rate at which the cells divide….mine was 5. I have seen people with them as high as 20 and as low as 1. So not too bad.

          everything in the comments sectionwellll.. ….maybe someone else here can help with that.

          But honestly…who is seeing you is the biggest thing, making sure they have experience with melanoma.

          • May 10, 2014 at 12:45 pm
          MattF
          Participant

            Hello

            First of all Im sorry about your diagnosis. But you came to the right place.

            I can shed a little light on some of this and others can help alot more.

             

            The first things we will need to know..

            where on your body was the melanoma?

            where do you live and where are your surgical  consults etc?

            did you see a Clark's Level listed on your pathology report? (not imoirtant I was just curious)

             

            Ok .

            Non Ulcerated is a good thing.

            1.1mm Breslow is and should be considered deep enough to warrant what is a called a Sentinal Node Biopsy….so make sure that is part of your surgical consult along with the Wide Local Excision. 

            WLE and SNB

            mitotic rate from what I understand is the rate at which the cells divide….mine was 5. I have seen people with them as high as 20 and as low as 1. So not too bad.

            everything in the comments sectionwellll.. ….maybe someone else here can help with that.

            But honestly…who is seeing you is the biggest thing, making sure they have experience with melanoma.

              • May 11, 2014 at 10:36 pm
              giggley
              Participant

                Thank you! I am in Memphis, and scheduled to see Dr. Burrus. It was on my left hand, at the edge under the pinky. The mole had been there my whole life.

                 

                I didn't see a Clark's level listed. Should that have been something noted?

                 

                thanks!

                • May 11, 2014 at 10:36 pm
                giggley
                Participant

                  Thank you! I am in Memphis, and scheduled to see Dr. Burrus. It was on my left hand, at the edge under the pinky. The mole had been there my whole life.

                   

                  I didn't see a Clark's level listed. Should that have been something noted?

                   

                  thanks!

                  • May 11, 2014 at 10:36 pm
                  giggley
                  Participant

                    Thank you! I am in Memphis, and scheduled to see Dr. Burrus. It was on my left hand, at the edge under the pinky. The mole had been there my whole life.

                     

                    I didn't see a Clark's level listed. Should that have been something noted?

                     

                    thanks!

                    • May 12, 2014 at 9:19 pm
                    giggley
                    Participant

                      I talked to my Derma today, they switched me to Dr. Fleming for surgery. had her explain a bit about the comments, and she said I was T2A.

                       

                      • May 12, 2014 at 9:19 pm
                      giggley
                      Participant

                        I talked to my Derma today, they switched me to Dr. Fleming for surgery. had her explain a bit about the comments, and she said I was T2A.

                         

                        • May 12, 2014 at 9:19 pm
                        giggley
                        Participant

                          I talked to my Derma today, they switched me to Dr. Fleming for surgery. had her explain a bit about the comments, and she said I was T2A.

                           

                        • May 10, 2014 at 12:45 pm
                        MattF
                        Participant

                          Hello

                          First of all Im sorry about your diagnosis. But you came to the right place.

                          I can shed a little light on some of this and others can help alot more.

                           

                          The first things we will need to know..

                          where on your body was the melanoma?

                          where do you live and where are your surgical  consults etc?

                          did you see a Clark's Level listed on your pathology report? (not imoirtant I was just curious)

                           

                          Ok .

                          Non Ulcerated is a good thing.

                          1.1mm Breslow is and should be considered deep enough to warrant what is a called a Sentinal Node Biopsy….so make sure that is part of your surgical consult along with the Wide Local Excision. 

                          WLE and SNB

                          mitotic rate from what I understand is the rate at which the cells divide….mine was 5. I have seen people with them as high as 20 and as low as 1. So not too bad.

                          everything in the comments sectionwellll.. ….maybe someone else here can help with that.

                          But honestly…who is seeing you is the biggest thing, making sure they have experience with melanoma.

                      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